Provider Coding and Informatics Educator (Outpatient)

Provider Coding and Informatics Educator (Outpatient) District Medical Group - 3.0 Phoenix, AZ Job Details Full-time $28 - $35 an hour 19 hours ago Benefits Wellness program Health savings account Paid holidays Disability insurance Health insurance Dental insurance Flexible spending account Paid time off Employee assistance program Vision insurance 401(k) matching Employee discount Benefits from day one Paid sick time Qualifications High school diploma or GED Certified Professional Coder Clinical staff training Certified Coding Specialist Instructor-led training (training delivery method) Online instruction Data collection Full Job Description About District Medical Group District Medical Group (DMG) is a nonprofit, integrated multi-specialty medical group in Phoenix, Arizona with a reputation for outstanding leadership, innovation, and dedication to the patients and communities we serve. DMG employs over 750 members, including Physicians, Advance Practice Providers, independent contractors, executives, and administrative staff to provide services across all major medical specialties and subspecialties. We are proud of the commitment to patient care, education, research, and community health services the organization has supported for over 30 years. DMG Offers the Complete Experience By upholding a supportive work environment through employee appreciation, collaboration, mentoring, and growth opportunity, DMG has retained countless long-tenured staff and welcomes new knowledge and initiatives. The organization offers a benefits package that includes competitive compensation and attractive health and company benefits, highlighted below. Medical, Dental, Vision, and many additional ancillary benefits

EFFECTIVE DAY ONE 401

(k) contribution options, with employer match up to 6% Access to Retirement Advisors Employer-paid Disability A Health Savings Account option with employer contribution Flexible Spending Account options, including Dependent Care FSA Rich Wellness Program and EAP, at no cost to the employee Fitness location memberships Pet care discount program Generous PTO allocation, increasing after 3 years 10 paid Holidays Up to 40 hours Paid Sick Time annually

JOB SUMMARY

Under the direction of the Director of Business Office Operations (DBOO), this position will review and analyze provider documentation related to diagnoses, procedures, and treatments within the electronic health system to identify opportunities, improvements, and barriers in charge automation and information exchange. This role will identify the appropriate systems and/or processes to optimize the use of information technology that support interface enhancements in the outpatient healthcare setting. This position will review, design, and provide in-person education and training to providers related to assigning ICD-10 and CPT coding, ensuring compliance with Federal, State, and payer regulations and understand the technology processes to enhance charge capture and decrease revenue leakage. The Provider Coding and Informatics Educator will develop education based on provider specialty and location and serve as the primary resource to providers for documentation and coding issues.

QUALIFICATIONS

Preferred/Required Education High school diploma or equivalent required Certified Coding Specialist (CCS), Certified Professional Coder (CPC) required Preferred/Required Experience Minimum of four (4) years' experience outpatient medical coding, preferably for a Level One and Teaching Hospital, Multi-Specialty outpatient facility Experience in Revenue Cycle Management (medical billing) preferred Two (2) years' experience clinical documentation improvement, chart review, and coding physician services Prior experience with Athena/IDX, EPIC, Encoder Pro preferred

FUNCTIONS

Provide clinical documentation review and clinical information systems education to support accurate coding and regulatory compliance. Identify patterns, trends, variations, and barriers in coding and documentation practices to ensure all care delivery services are accounted for in health information exchange and charge automation. Work closely with information systems regarding charge automation and technology enhancements. Attend and provide coding and documentation information sessions to Physician/Provider and Clinic/Site Department meetings. Conduct Physician/Provider education that include coding and/or documentation topics, such as documentation by Specialist Provider, online review meetings, and Revenue Cycle Management division meetings. Review and provide coding and/or documentation guidance; initiates updates to record or EMR templates. Communicate Physician/Provider new services to DBOO and/or Revenue Cycle Management and facility EMR partners Identify and/or prompt clinical documentation improvement (CDI) and charge capture efficiency and opportunities. Independently support and maintain Physician/Provider, RCM, and facility informatics relationships as the point of contact. Maintain current knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards. Take ownership of special projects, research data and follows through with detailed action plans. Analyze interface information to enhance charge capture. Design, develop, and deliver education programs, including training and support materials, tailored to provider specialty and applications. Analyze and report on charting processes. Collaborate with educators and subject matter experts. Collect and coordinate the collection of data by performing coding quality chart reviews, ensuring the reviews meet government, regulatory, and coding guidelines/standards. Deliver chart review results with accurate and relevant reports that can be used to make informed business decisions. Other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

Extensive knowledge in ICD-10-CM and CPT coding, guidelines, anatomy, physiology and medical terminology Ability to exercise initiative and problem-solving skills Strong critical reading and comprehension skills Ability to read, understand and follow oral and written instructions Must be well organized and detail oriented Must be able to work under pressure and meet deadlines, while maintaining a positive attitude Must be able to effectively educate and train both in-person and virtually Knowledge of Medicare/Medicaid and other government regulations surrounding documentation, coding, and medical billing practices Ability to understand the clinical content of medical records and technology platforms Have excellent communication, documentation, and presentation skills to interact and communicate effectively with providers and other staff Ability to explain information in a clear, concise, and organized format Ability to manage time efficiently and multi-task expectations and responsibilities Position is required to be present on DMG or Valleywise location(s) to complete job duties such as in-person training