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Under the general direction of the Professional Coding Manager, this individual will serve as the subject matter expert and the key point of contact for evaluation and management, procedural CPT and ICD 10 coding documentation information for ProFee coding in the hospital and ASC setting. This person will provide feedback, charge capture concerns and offer suggestions for resolution. Duties include Professional documentation & coding reviews, as well as, collaborating with Compliance and Physician Liaison to address documentation and coding concerns. Specific educational topics to include, but not limited to, documentation specificity requirements, selection of primary and specialty care E&M levels, selection of procedural charges and codes, diagnosis assignment, and modifier assignment to ensure correct coding, legal compliance and complete charge capture.
Job Responsibility:
Assess professional provider documentation and professional coding education needs
Perform provider education using various communication tools and training platforms
Summarize chart audit results, trends, and corresponding action plans
Present education for new providers
Collaborate with SSH leadership, Coders, Billing Staff, Physician Billing Managers and I.S to identify and provide feedback
Collaborate with PB Coding Manager to create educational presentations