General Summary - Coding and Documentation Trainer
Under limited supervision, provides ongoing training and support to physicians, non–physician providers, professional fee billing staff, clinic staff, administrators, and other personnel on third party payer documentation and billing requirements. Develops coding documentation materials to be used as training tools. Assists in responding to inquiries from providers and staff. Assists in preparing periodic coding updates materials for providers and staff.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Develops training and educational materials to address documentation and coding deficiencies and educate staff and providers on new requirements.
Conducts concurrent coding reviews for coding staff. Provides timely feedback to the Coding Manager.
Conduct audits of provider documentation on an ad-hoc basis as requested by the Coding Manager.
Coordinates, schedules, and conducts new hire education and training of coding staff with Coding Manager.
Provides ongoing Coding Department training and support for coders as assigned; secondary to primary onboarding and training role for new hires.
Reviews Epic upgrades and creates revised departmental documentation when necessary.
Troubleshoots system issues as they relate to coding functions and resolves complexities in departmental training workflow.
Actively participates in coding and payer meetings and/or seminars and disseminates the information to coding and providers relating to coding guidelines, payer rules and denial trends
Works closely with CBO Leadership to identify denials and develop education plans that will minimize future claim rejections as they pertain to medical necessity and coding errors.
Understands and applies Medicare billing rules (i.e. LCD/NCD, CCI).
Holds regular meetings to communicate new findings, deficiencies and coding changes with staff, management and providers.
Education and Experience
High school diploma required.
Two to four years related experience and/or training; or equivalent combination of education and experience CPC, CCS-P certification required.
Previous physician coding training experience highly preferred.
Knowledge, Skills and Abilities
Knowledge of medical terminology required.Experience using Microsoft Office, Excel and PowerPoint.Demonstrated knowledge of ICD-10, CPT and Medicare guidelines.
Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
Takes action to correct observed risks to patient safety
Reports adverse events and near misses to appropriate management authority
Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.