Clinician Coding Liaison – Medical Based Specialties, Dental

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

📋 Description

• Provide proactive coding education through newsletters, scorecards, and presentations that address 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 offer personalized documentation feedback.

• Forward non-coding issues to the relevant teams.

• Act as the main contact for coding-related inquiries.

• Collaborate with internal teams to address complex issues, including NCCI bundling and high-complexity charge edits.

• Supervise Epic work queues for charge reviews, follow-ups, and claim edits.

• Guarantee timely and accurate charge submissions while minimizing claim denials.

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

• Engage in specialty and department meetings.

• Recognize trends and provide targeted education to enhance coding and documentation accuracy.

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

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

• Maintain expert-level knowledge of changing coding and regulatory policies.

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

⛳️ Requirements

• Coding certification from AAPC or AHIMA is required.

• One of the following certifications is necessary: RHIA, RHIT, CCS, CCS-P, or CPC.

• Additional credentials are preferred.

• Completion of advanced training in revenue cycle management through an accredited program, equivalent in scope and rigor to post-secondary education.

• A high school diploma or GED is required.

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

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

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

• Advanced proficiency in Epic and other reporting tools.

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

• Excellent problem-solving, analytical, organizational, prioritization, and attention-to-detail skills.

• Outstanding verbal and written communication abilities.

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

• Ability to collaborate with physicians, APCs, clinical leadership, coding teams, and other departments.

• Capability to adhere to remote work policies and guidelines.

• Willingness and ability to travel if necessary.

• Availability to work Monday through Friday, during hours between 6:00 am and 6:00 pm CST.

• Must be eligible to work remotely from an approved registered state listed in the posting.

🏝️ Benefits

• Comprehensive Total Rewards package.

• Competitive compensation.

• Premium pay options, including shift and on-call pay.

• Incentive pay for select roles.

• Potential for annual performance-based salary increases.

• 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.

• Financial wellness programs.

• Educational Assistance Program.

• Remote work opportunity, subject to organizational policy and approved registered-state eligibility.