Coding Educator

Summary

• **Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered.*
• This position is responsible for providing on-going coding, documentation and compliance education to providers and their office staff. They are then responsible for monitoring coding and documentation performance through random chart audits and regular meetings to communicate findings with providers and staff; follow up as necessary (additional reviews, analysis of benchmarking profiles, etc.). The position must also provide continual coding and payer updates and research coding issues that will arise.

Responsibilities

• (35%)
• Orientation of new providers and staff (including locum tenens and new residents); on-going review and training for up to six (6) months. (25%)
• Conduct provider (physician and non-physician) and staff education on an on-going basis. Once per month minimum. Education will include formal small group presentations. (25%)
• Responsible for reviewing notes related to patient or payer complaints/concerns related to evaluation and management coding as well as patient requests for denials on services provided at the facility. After review, responsible for timely communication to the patient, payer and physician (if needed) to address their concern. (15%)
• Conduct bi-annual chart audits, 1-2 week pre-review process for all providers, provide feedback and education on outcome of reviews and the Work Relative Value Unit (WRVU) impact. OTHER DUTIES AND RESPONSIBILITIES: Complete audits of Office Of Inspector (OIG) focused areas for review as needed for Corporate Compliance. Semi-annual monitoring and analysis of utilization benchmark reports to Centers for Medicaid and Medicare Services (CMS) norms. Code difficult cases at the request of providers. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Certifications and Licensures

E/M CODER: Cpc, ccs, ccsp, rhit, or rhia

One of the following certifications are required

• Certified Professional Coding (CPC) certificate, Certified Coding Specialist (CCS) certificate, or Certified Coding Specialist Physician