The Coding Educator is responsible for conducting coding and billing training to physicians, coders, and other interested personnel, including developing the training materials, and assessing competency.
Performs quality assurance reviews/audits with appropriate feedback.
Monitors coding and billing regulations to assure compliance with governmental and payer regulations.
Works all coding related denials and acts as a resource to staff regarding coding issues and coding denials.
The Educator reviews coding performance, oversees day-to-day practice operations that involve CPT or ICD10 coding questions and workflow issues, and leads related staff and provider education for professional services coding of both in and outpatient services.
Furnish ongoing coding education to physicians, administrators, and staff, including creation of appropriate training materials.
Maintain up-to-date resource library with current and appropriate reference materials for the staff as well as maintain coding credentials by attending classes, seminars, conferences, etc. Assist Director as assigned to meet department goals.
Assist with providing ongoing training and education to providers and ancillary associates of CPT, ICD-10-CM, and HCPCs in accordance with CMS Coding guidelines.
Promote consistency and accuracy of coding and documentation practices, and conducts independent chart reviews that verify the correct assignment of diagnosis/procedure codes along with ensure clinical services ordered and performed are properly.
Investigate and analyze denial trends to identify root causes, patterns, and inefficiencies.
Use Excel or other software to analyze data and generate reports on denial rates.
Detail-oriented with a strong focus on accuracy and compliance.
Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
Performs other related work as needed.
Preferred Qualifications
Experience:
Must have strong E/M coding experience and ability to explain coding guidelines.
Four to five years demonstrated knowledge of coding.
Understanding of physiology, medical terminology, and disease process.
Two years previous experience in medical record chart documentation review.
Two years experience in group education with provider audiences.
One year working with Epic PB Resolute/EpicCare.
Licenses and Certifications:
Certified Professional Coder (AAPC) or Certified Coding Specialist-Physician based (AHIMA).
Preferred Competencies
Proficient in PC skills including Microsoft Excel, Power Point, Microsoft Access, and Word.
Strong analytical, problem solving, interpersonal, verbal/written communication, organizational, project management and team development skills are necessary as is knowledge of health information systems and database technology.
Must be able to create coding-based curriculum and training materials, deliver effective oral presentations and prepare concise written reports for a variety of audiences and possess basic computer skills.
Working Conditions
Office environment.
Application Documents
Resume (required)
Cover Letter (preferred)
The University of Chicago is an Affirmative Action/Equal Opportunity/Disabled/Veterans Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, status as an individual with a disability, protected veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.
Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via the Applicant Inquiry Form.
The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: securityreport.uchicago.edu. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.
One of the world's premier academic and research institutions, the University of Chicago has driven new ways of thinking since our 1890 founding. Today, UChicago is an intellectual destination that draws inspired scholars to our Hyde Park and international campuses, keeping UChicago at the nexus of ideas that challenge and change the world.
