Bayview Physicians Group

Position: Coding Analyst and Educator Key Responsibilities: As a Coding Analyst and Educator, you will play a key role in improving coding accuracy and clean claims processing by: - 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. Relationship Services: - 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. Post-Visit Coding Collaboration: - 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. Other Duties: - 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. Education and Experience: - Minimum of 5 years of coding experience in a multi-specialty healthcare setting. - Certified Professional Coder (CPC) certification for at least 5 years. - Advanced coding certifications preferred. - Experience in training and educating providers, coders, and staff. - Knowledge of EclinicalWorks preferred. Job Details: - Full-time position. - Remote work opportunity available. - Video chat required for meetings and collaboration. - Excellent verbal and written communication skills are essential.