Bayview Physicians Group ยท 3 days ago
Coding Analyst and Educator
United States
Full-time
Remote
Senior Level
5+ years expBayview Physicians Group is seeking a Coding Analyst and Educator to enhance coding accuracy and claims processing. The role involves collaborating with clinicians on documentation improvements, providing targeted training, and ensuring compliance with coding guidelines.
Health CarePrimary and Urgent Care
Responsibilities
Identifying trends in coding errors, supporting root cause analysis, and collaborating with coding and training staff to drive improvements
Staying up-to-date on regulations and guidelines to ensure accurate use of CPT codes and documentation
Demonstrating expertise in coding systems and medical record documentation requirements, with the ability to interpret clinical documentation for accuracy
Serve as a key point of contact for clinicians (Physicians and Advanced Practice Providers) regarding documentation and coding issues
Engage with clinicians one-on-one to identify opportunities for documentation improvement and collaborate with clinical and coding education teams to provide targeted training
Research and interpret coding guidelines and internal business rules to resolve coding inquiries and issues
Advise staff on quality improvement opportunities and help correct errors related to coding practices
Verify accurate code usage by consulting official coding resources, policies, and manuals, and work with payors to educate them on specific coding rules
Conduct Quality Assurance reviews of post-visit documentation and report quality concerns and coding errors to leadership
Identify potential missed coding opportunities within encounters
Address non-billable services at the provider level and ensure timely correction of documentation deficiencies, such as missing chief complaints or time for audio-only visits
Serve as a liaison between teams to ensure timely updates on documentation requirements and process changes
Collaborate with compliance and coding education specialists to create effective educational resources
Lead special projects and initiatives within the division/market as requested by leadership
Perform chart reviews to identify educational opportunities and conduct individual chart research when needed
Participate in payor calls and chart reviews, compiling findings and assisting with follow-up research
Engage in payor meetings to ensure accurate data submission and maintain relationships with payor representatives
Qualification
Required
Minimum of 5 years of coding experience in a multi-specialty healthcare setting
Certified Professional Coder (CPC) certification for at least 5 years
Experience in training and educating providers, coders, and staff
Excellent verbal and written communication skills are essential
Preferred
Advanced coding certifications preferred
Knowledge of EclinicalWorks preferred
Company
Bayview Physicians Group
Bayview Physicians Group is a hospital & health care company specializing in urgent care and inpatient hospitalist services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
J
Jeffrey D. Forman
Chief Medical Officer
Company data provided by crunchbase