Clinician Coding Liaison – Pulmonology

This is a fully remote position, open to applicants in Alabama, +32 more states.

📋 Description

• Provide proactive coding education through newsletters, scorecards, and presentations, encompassing CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.

• Lead the onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, to ensure documentation accuracy from the outset.

• Offer personalized documentation feedback by reviewing records from new clinicians and performing spot checks, escalating non-coding issues to the relevant teams.

• Act as the main point of contact for coding inquiries, collaborating with internal teams to address complex challenges such as NCCI bundling and high-complexity charge edits.

• Oversee Epic work queues (charge review, follow-up, claim edit) to guarantee timely and accurate charge submissions while minimizing claim denials.

• Work together with various departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.

• Attend specialty and departmental meetings, identifying trends and providing targeted education aimed at improving coding and documentation accuracy.

• Enhance Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to boost efficiency and accuracy.

• Ensure adherence to regulatory standards, including Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding, while maintaining expert knowledge of changing policies.

• Foster a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

⛳️ Requirements

• Required certification: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Coding Specialist (CCS), Coding Specialist – Physician (CCS-P) from the American Health Information Management Association (AHIMA), or Professional Coder (CPC) from the American Academy of Professional Coders (AAPC).

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

• High school diploma or GED is mandatory.

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

• Advanced Coding Expertise: Comprehensive knowledge of ICD, CPT, and HCPCS coding guidelines to ensure accurate and compliant coding practices.

• Strong grasp of medical terminology, anatomy, and physiology to facilitate precise code assignment.

• Advanced proficiency in Epic and other reporting tools to analyze data, create reports, and enhance workflow efficiencies.

• Highly skilled in problem-solving and analytical thinking with a keen attention to detail.

• Superior verbal and written communication skills, with the capability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.

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

• Ability to efficiently handle multiple tasks, prioritize, and meet deadlines in a fast-paced environment.

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

• Strong initiative to contribute to process improvements and collaborate effectively within a team setting.

🏝️ Benefits

• Paid Time Off programs

• Health and welfare benefits including medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible healthcare and dependent care expenses

• Family benefits including adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program