Coding Compliance Coordinator - Medical Coding

Must be CPC, CCS or CCP coding certified. CPMA preferred.

Provides professional services: auditing, training, consultation, audit, and feedback to clinicians on their documentation and coding to ensure VC receives appropriate reimbursement and conforms to applicable guidelines and regulations. Advocates compliance with all third-party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the clinicians.

Hiring Range: $28.35/hr to $39/hr. commensurate with experience and professional certification.

Essential Functions And Responsibilities

• Performs audits utilizing an in-depth knowledge of ICD-10, CPT and HCPCS coding, Correct Coding Initiatives (CCI) and documentation guidelines.
• Provides training for all New and Established Providers to ensure correct documentation and coding of procedures and diagnoses.
• Provides coding and documentation education and training for clinicians.
• Performs coding reviews for providers based on areas of deficiency and also to support CMS required annual audits.
• Provides ad-hoc audits of Providers when requested by Department Managers and Department Chairs to address areas of concern.
• Supports the development of documentation and coding policies and procedures.
• Utilizes understanding of Practice Management system to recommend Master File changes to facilitate correct claims coding per carrier specifications.
• Ongoing dissemination of information to Providers, Clinical Coders, and Clinic Managers to inform about coding policies via email, memos and periodic meetings.
• Monitoring of Clinical Coders' coding knowledge via audits and other mechanisms, keeping Operational Support Supervisor informed and soliciting intervention if deficiencies are identified.
• Provides coding workshops and training sessions for medical billing charge entry staff as requested.
• Participates in projects to enhance coding and charge entry functions clinic-wide
• Works with Patient Financial Services to enhance the effectiveness of software including the Practice Management system.
  
  

Skills And Abilities

• Working knowledge of ICD-9, ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI)
• Ability to train and audit new and established clinicians.
• Knowledge of medical terminology and anatomy and ancillary tests/procedures.
• Excellent organizational skills and strong attention to detail required.
• Strong oral presentation skills.
• Must have demonstrated competence with computer systems including electronic health records, Microsoft Office Suite.
• Typing skill of 40 wpm.
  
  

Education And Experience

• High school diploma or equivalent required.
• Current CCS or CPC certification or equivalent required.
• At least two years of CPT, ICD-9 coding systems and chart auditing experience required.
• ICD-10 certification preferred.
• Certified Professional Medical Auditor (CPMA) preferred, or ability to obtain within one year of employment.
• Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies.
• Experience educating clinicians regarding coding, charting and other relevant processes, in an individual and group setting strongly preferred.
  
  

Pay Range

$27.79 - $41.68

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked. Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.