Job Description

Title: Medical Coding/ Education Specialist

Location: Remote, preferably in Texas

Compensation: $65,000 - $75,000 per year

*Must have Post Acute Care Experience*

We are seeking an accomplished Medical Coding and Education Specialist to join our healthcare team, focusing on enhancing coding accuracy and compliance within our post-acute care facilities. This role involves reviewing medical records, assessing for accurate provider cpt and ICD-10 codes, and developing educational materials. Additionally, the specialist will collaborate closely with our technology and revenue cycle teams to optimize EMR processes, streamline documentation, and reduce coding denials.

Responsibilities:

• Conduct regular coding audits and reviews to ensure compliance with coding guidelines, regulatory requirements, and reimbursement policies.
• Develop and deliver educational materials, training modules, and resources on coding guidelines, regulatory updates, and documentation requirements specific to post-acute care settings.
• Collaborate with providers and operations personnel to clarify documentation and coding issues, providing ongoing feedback and support for improvement.
• Work closely with the technology team to optimize EMR processes, enhance documentation workflows, and implement improvements aimed at reducing coding denials and improving reimbursement rates where necessary.
• Stay informed about changes in healthcare regulations, coding guidelines, and reimbursement practices relevant to post-acute care settings.
• Review medical records from providers in post-acute care facilities to assign precise medical codes using ICD-10, CPT, and HCPCS coding systems.
• Ability to conduct coding audits and reviews to identify errors and areas for improvement.
• Proven ability to develop educational materials and deliver effective training to medical providers.
• Educate providers on best practice for accurate, complaint, documentation to support proper coding and reimbursement.
• Conduct training for new providers when necessary, and ongoing refresher training for existing staff when needed.
• Ensure proper and effective training is taking place for documentation and coding for new providers, working in collaboration with the onboarding team.

Requirements:

• Must have a minimum of five years’ experience and hold a Medical Coding Certification
• Certified Coding Specialist (CCS) certification or Certified Professional Coder (CPC) certification required.
• Minimum of 3 years of experience in Provider medical group coding in post-acute care settings such as skilled nursing facilities.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems and guidelines, with a strong understanding of medical terminology, anatomy, physiology, and disease processes.
• Strong analytical skills and attention to detail, with the ability to work independently and as part of a team in a fast-paced environment.
• Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse healthcare professionals.
• Familiarity with electronic health record (EHR) systems and coding software used in post-acute care settings.

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