Memorial Hermann Health System · 10 hours ago
Audit & Education Liaison - SB
Houston, TX
Full-time
Hybrid
Senior Level
5+ years expMemorial Hermann Health System is dedicated to delivering high quality, efficient care and exceptional experiences for its community members, including employees. The Audit & Education Liaison is responsible for providing education on outpatient procedural and diagnosis coding to physicians and extenders, conducting documentation reviews, and developing educational programming in collaboration with physician leadership.
Health CareNon Profit
Responsibilities
Provides documentation and coding education to physician and their support staffing virtually or in their designated clinics
Conducts research to update education materials for providers
Interprets changes in external regulatory environment and coding updates
Plans and conducts on-going training with providers and support staff
Provides coding expertise and serves as subject matter expert to respond questions from providers, office staff and others relating to procedural coding and ICD-10 coding, regulations and documentation requirements
Maintains project work list and meets deadlines
Seeks appropriate physician input if required information is missing or unclear
Maintains current knowledge of outpatient coding. Follows coding compliance guidelines, official coding guidelines, regulatory requirement and internal policies and procedures affecting the coding process
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues
Other duties as assigned
Qualification
Required
Associates degree required; in lieu of degree, minimum of two (2) years of progressive experience in outpatient physician documentation and Risk Adjustment; Bachelor's degree preferred
One of the following licenses is required: Certified Coding Specialist (CCS), or Certified Professional Coder (CPC), or Certified Coding Specialist-Physician Based (CCS-P), or Clinical Documentation Expert (CDEO), or Certified Risk Adjustment Coder (CRAC), or Certified Professional Medical Auditor (CPMA), or Certified Coding Associate (CCA)
Five (5) years of progressive experience in outpatient physician documentation and Risk Adjustment and a minimum of two (2) years specifically in a multi-specialty practice environment
Advanced working knowledge of ICD-10, CPT, HCPCs, compliance and coding requirement. HCC Risk Adjustment experience required
Expertise in risk factor calculations
Possess computer skills, operating systems and EMRs
Demonstrate a high level of organizational and planning skills with the ability to work independently
Requires excellent observation skills, analytical thinking, problem solving and possess superior verbal and written communication skills with the ability to adapt style and tone according to situation and audience
Experience in adult learning principles to be able to provide adult education and training
Company
Memorial Hermann Health System
Advancing Health. Personalizing Care.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$5MKey Investors
The John M. O'Quinn FoundationBlue Cross and Blue Shield of Texas
2022-08-02Grant· $5M
2022-07-07Grant
Leadership Team
Michael Roussos
SVP, President of Academic Hospitals and CEO, Memorial Hermann-Texas Medical Center Campus
David Wong, MD
Director, Virtual Health Product Management
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