Physician Billing & Coding Educator

Coordinates, schedules, and performs reviews of professional services and documentation performed by RUMG & ROPPG providers. 2.

Evaluates clinical documentation to identify inconsistency or improvement opportunities that could impact reimbursement, revenue integrity, and/or reduce denials. 3.

Reviews charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation. 4.

Prepares written reports of the audit findings to internal leadership, clinical leadership, and providers. 5.

Develops educational presentations, learning tools, and training material. 6.

Provides education for both providers and coders for appropriate CPT, ICD-10, and modifiers based on supporting documentation and EMR charge capture support. 7.

Serves as a liaison point of contact for clinical coding inquiries and communication for professional billing revenue cycle 8.

Seeks to establish collaborative relationships with physician leaders, clinical providers, IS, Corporate Compliance, Revenue Cycle, and administrative leadership in the support of coding education and documentation adequacy. 9.

Assists with claim denial reports to ensure optimal reimbursement 10.

Analyzes billing trends to identify areas of non-compliance and prepares regular reports on review findings to appropriate committees. 11.

Assists in the development of corrective action plans and participates in compliance investigations as needed. 12.

Manages special projects individually or in collaboration with other departments. 13.

Track coding quality and documentation improvements to measure ROI, organizational growth and support of CPI initiatives. 14.

Performs job functions adhering to service principles with customer service focus on I-Care values.

Rush is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.