Provider Coding and Informatics Educator

About the Company: District Medical Group (DMG) is well known as a respected leader in the healthcare industry in the Phoenix area, with a reputation for outstanding leadership, innovation and dedication to the patients and communities we serve. DMG employs over 650 credentialed providers and more than 350 professional/administrative staff as one of the largest physician groups in the Valley. Job Summary: Under the direction of the Director of Business Office Operations (DBOO), this position will review and analyze provider documentation related to diagnoses, procedures, and treatments within the electronic health system to identify opportunities, improvements, and barriers in charge automation and information exchange.  This role will identify the appropriate systems and/or processes to optimize the use of information technology that support interface enhancements in the healthcare setting.  This position will review, design, and provide in-person education and training to providers related to assigning ICD-10 and CPT coding, ensuring compliance with Federal, State, and payer regulations and understand the technology processes to enhance charge capture and decrease revenue leakage.  The Provider Coding and Informatics Educator will develop education based on provider specialty and location and serve as the primary resource to providers for documentation and coding issues. Essential Duties/Responsibilities: Provides clinical documentation review and clinical information systems education to support accurate coding and regulatory compliance. Identifies patterns, trends, variations, and barriers in coding and documentation practices to ensure all care delivery services are accounted for in health information exchange and charge automation. Works closely with information systems regarding charge automation and technology enhancements. Attends and provides coding and documentation information sessions to Physician/Provider and Clinic/Site Department meetings. Conducts Physician/Provider education that include coding and/or documentation topics, such as documentation by Specialist Provider, online review meetings, and Revenue Cycle Management division meetings. Reviews and provides coding and/or documentation guidance; initiates updates to record or EMR templates. Communicates Physician/Provider new services to DBOO and/or Revenue Cycle Management and facility EMR partners Identifies and/or prompts clinical documentation improvement (CDI) and charge capture efficiency and opportunities. Independently supports and maintains Physician/Provider, RCM, and facility informatics relationships as the point of contact. Maintains current knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards. Takes ownership of special projects, research data and follows through with detailed action plans. Analyze interface information to enhance charge capture. Design, develop, and deliver education programs, including training and support materials, tailored to provider specialty and applications. Analyze and report on charting processes. Collaborate with educators and subject matter experts. Collects and coordinates the collection of data by performing coding quality chart reviews, ensuring the reviews meet government, regulatory, and coding guidelines/standards. Delivers chart review results with accurate and relevant reports that can be used to make informed business decisions. Perform related duties, as assigned by DBOO. Maintain compliance with all company policies and procedures. Required Knowledge/Skills/Abilities: Extensive knowledge in ICD-10-CM and CPT coding, guidelines, anatomy, physiology and medical terminology. Ability to exercise initiative and  problem-solving skills. Strong critical reading and comprehension skills Understanding/compliance of HIPAA laws and regulations. Ability to read, understand and follow oral and written instructions. Must be well organized and detail oriented. Must be able to work under pressure and meet deadlines, while maintaining a positive attitude. Ability to work independently or with a team and carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. Ability to operate standard office machines and equipment; telephones, computers, copy machines, fax machines, calculators, scanners, and shredders. Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other Federal, State and local standards, including meeting qualitative and/or quantitative productivity standards. Must be able to effectively educate and train both in-person and virtually. Ability to maintain regular, punctual attendance consistent with the ADA, FMLA, and other Federal, State, and local standards. Knowledge of Medicare/Medicaid and other government regulations surrounding documentation, coding, and medical billing practices. Ability to understand the clinical content of medical records and technology platforms. Have excellent communication, documentation, and presentation skills to interact and communicate effectively with providers and other staff. Have the ability to explain information in a clear, concise, and organized format. Be proficient in the use of PowerPoint, Excel and Word in order to create physician education materials and templates. Ability to manage time efficiently and multi-task expectations and responsibilities. Education or Equivalency: High school diploma or equivalent Certified Coding Specialist (CCS), Certified Professional Coder (CPC)  Experience Requirements: Minimum of four (4) years’ experience inpatient medical coding, preferably for a Level One and Teaching Hospital, Multi-Specialty Inpatient. facility. Experience in Revenue Cycle Management (medical billing) preferred. Two (2) years’ experience clinical documentation improvement, chart review, and coding physician services. Prior experience with Athena/IDX, EPIC, Encoder Pro preferred. FTE Status/Scheduled Hours of Work: This is a full-time position, Monday through Friday. Occasional overtime may be required and/or hours may be shortened as business needs dictate. Flexibility of work schedule may be required to accommodate physician’s schedules. Environmental Working Conditions: Normal office work environment The noise level of the work environment is usually moderate.

Salary : $28 - $35