Clinician Coding Liaison – Medical Based Specialties

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Provide proactive coding education through newsletters, scorecards, and presentations that encompass CPT, ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.

• Facilitate onboarding and compliance training for employed Physicians/APPs, Locum Tenens, residents, and students.

• Evaluate new clinician records and perform spot checks to deliver personalized documentation feedback.

• Raise non-coding issues to the appropriate teams.

• Act as the main point of contact for coding inquiries and manage the resolution of complex issues such as NCCI bundling and high-complexity charge edits.

• Oversee Epic work queues to guarantee timely and accurate charge submissions while minimizing claim denials.

• Collaborate with CMOs, Clinical Informatics, Risk Adjustment, and Population Health teams.

• Engage in specialty and departmental meetings to identify trends and provide targeted education.

• Enhance Epic documentation tools, templates, order entries, diagnosis lists, SmartSets, and SmartPhrases.

• Ensure adherence to Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding.

• Advocate for ethical coding and continuous improvement through timely updates, feedback, and education.

⛳️ Requirements

• RHIA, RHIT, CCS, CCS-P, or CPC certification is mandatory.

• RHIA, RHIT, CCS, or CCS-P certification must be issued by AHIMA when applicable; CPC certification must be obtained from AAPC.

• Additional specialty credential is preferred.

• Completion of advanced training through a recognized or accredited program that is equivalent in scope and rigor to post-secondary education, or equivalent knowledge.

• A high school diploma or GED is required.

• Generally requires 4 years of experience in expert-level professional coding.

• Comprehensive knowledge of ICD, CPT, and HCPCS coding guidelines.

• Strong understanding of medical terminology, anatomy, and physiology.

• Advanced expertise in Epic and other reporting tools.

• Proficient in Microsoft Office Suite, electronic coding applications, and email communication.

• Exceptional problem-solving, analytical thinking, attention to detail, prioritization, and deadline management skills.

• Outstanding verbal and written communication abilities.

• Capability to work independently, exercise sound judgment, and make informed coding and compliance decisions.

• Ability to collaborate and contribute to process enhancements.

• Capacity to adhere to organizational and divisional remote work policies and guidelines.

• Proficient in operating all equipment necessary to perform the job.

• Ability to work cooperatively and effectively with individuals and teams.

🏝️ Benefits

• Benefits Eligible: Yes.

• Competitive salary.

• Opportunity for annual raises based on performance.

• Paid Time Off programs.

• Medical, dental, vision, life, and Short- and Long-Term Disability benefits.

• Flexible Spending Accounts for eligible healthcare and dependent care expenses.

• Adoption assistance.

• Paid parental leave.

• Defined contribution retirement plans with employer matching.

• Additional financial wellness programs.

• Educational Assistance Program.

• Initiatives that invest in career development.

• Premium pay such as shift differentials, on-call pay, and more based on a teammate's role.

• Incentive pay for select positions.