Acts as an internal resource for Lee Physician Group for professional service coding and documentation education. Performs medical record audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures. Provides provider elbow to elbow coding and documentation support through ad hoc phone calls and site visits, the creation of specialty or individual provider tip sheets, virtual and onsite presentations. Provides guidance and advice for reporting policies mandated by government entities and other payers for completion of coded data including level of service, diagnosis, procedure and diagnostic code assignments. Analyzes data, communicates findings, and facilitates improvement efforts. Independently develops and maintains educational materials and training programs. Works in conjunction with the clinical practice managers and coding leadership teams.
Additional experience requirements:
- Previous experience training Physicians and other providers
- CPMA certification required, or must be obtained within 12 months of hire
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Educational Requirements Degree/Diploma Obtained Program of Study Required/
Preferred and/or Bachelor's Science Preferred Experience Requirements Minimum Years Required Area of Experience Required/
Preferred and/or 3 Years Physician/Professional Service Coding Required State of Florida Licensure Requirements Licenses Required/
Preferred and/or Certifications/Registration Requirements Certificates/Registrations Required/
Preferred and/or CPC (Certified Professional Coder) Required CPMA (Certified Professional Medical Auditor) Preferred Additional Details
CPMA preferred or must be obtained within two years of hire.Other Requirements
Must possess excellent written and verbal communication skills and the ability to deliver technical instruction to medical staff. Extensive knowledge of CPT and ICD-10 guidelines and principles. Must have a firm understanding of medical terminology. Must possess an independent working knowledge of Microsoft office products inclusive of word, excel and PowerPoint.
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