Coding Compliance Specialist jobs in Galveston, TX

MINIMUM QUALIFICATIONS:

High school diploma or equivalent and (5) years of medical billing and complex multi-specialty coding experience required. Certification from AHIMA – CCSP, AAPC – CPC, CMC, or related certification as approved by department leadership

PREFERRED EDUCATION / EXPERIENCE:

Experience with/in EPIC, Physician Billing / Hospital Billing, Revenue Cycle, Coding, Charge Capture, Medicare, and/or CMS

JOB SUMMARY:

Provides professional coding and documentation education to providers and coders within UTMB to increase coding compliance and consistency in documentation and coding guidelines. Position is responsible for coordination of all aspects of provider, practice, and coder education, including but not limited to scheduling, tracking, follow-up, and workflow integration. In addition, position works closely with QA Auditing team to determine education opportunities via denial trends, audits, and guidelines from all third-party payers.

ESSENTIAL JOB FUNCTIONS:

• Manage relationship with providers / departments within UTMB for the education of providers to increase coding compliance and consistency in documentation and coding guidelines.

• Coordinate and present education of providers, practices and coders related to risk adjustment, coding and documentation.

• Review and distribute QA reports to departments and the billing providers on an annual basis.

• Create all educational materials and track all educational activities

• Track all trends and patterns of providers, departments, clinics, and coders for coding and documentation education opportunities.

• Meets with QA auditing team to review audits to determine coding and documentation education opportunities.

• Actively participate in team functions such as team meetings, educational sessions, and team projects to promote teamwork and consistency in communication.

• Adheres to internal controls and reporting structure.

KNOWLEDGE / SKILLS / ABILITIES:

• Proficient written, oral communication and presentations skills.

• Experience in Excel and report analysis.