Physician Coding Liaison II - Primary Care

Department :

13338 Enterprise Revenue Cycle - Charge Capture : Surgery / Medical Education

Status : Full time

Benefits Eligible : Yes

Hou rs Per Week : 40

Schedule Details / Additional Information :

Weekdays

Atrium Health - Charlotte, NC

About Atrium Health :

Atrium Health is a nationally recognized leader in shaping health, delivering world-class care, and transforming the communities we serve. We bring together world-class physicians, cutting-edge research, and innovative technology to provide compassionate, personalized care for every stage of life. Join our team and be a part of a mission-driven organization dedicated to improving health, elevating hope, and advancing healing - for all.

Job Summary :

Atrium Health is seeking a highly motivated and detail-oriented Physician Coding Liaison to join our dynamic team. The Physician Coding Liaison will serve as a critical link between physicians, coding teams, and revenue cycle departments, ensuring accurate and compliant coding practices. This role will involve providing education, conducting audits, and resolving coding-related inquiries to optimize revenue integrity and minimize compliance risks.

Job Summary

Serves as the system-wide key contact for service line / specialty specific coding and proactively educates coding / documentation guidelines and / or concepts within a specific specialty. Collaborates with Chief Medical Officer (CMO), Senior director administrators, Production and Department support leaders for problem resolution and / or trends in payer specific rules / coverage. Educates Physicians, Advanced Practice Providers (APPs), Medical Group and Clinic Leadership to improve coding and documentation. Knowledge sharing with Patient Service Area (PSA) Liaisons, Production Coding, and Department Support to improve coding, documentation, and charge capture opportunities. Due to the system-wide service line / specialty specific support, the PCL Spec role is virtual. Note : For purposes of this document, the term Clinicians represents all billing providers.

Essential Functions

• Provides service line / specialty specific coding / documentation education and feedback related to coding changes (CPT including E&M, modifiers, ICD-10-CM, and HCPCS), annual code updates, payer requirements, and payer rejection resolution to assigned Physicians / APPs. Partners with CMOs to standardize coding processes across a specific specialty. Shares and / or presents coding / documentation education presentations to Chief Medical Officers (CMOs), Physicians / APPs, Senior Director Administrators across the organization. Coordinates with PSA Liaisons to provide adequate Physician / APP and / or clinical team member support.
• Conducts orientations for all Physicians / APPs, residents / students and clinical team members on specialty specific coding and documentation related education. Performs new clinician documentation reviews for specialty specific coding, and documentation feedback, as requested.
• Coordinates responses to Physicians / APPs, Locum Tenens, residents / student's questions and feedback from various sources and partners, including Senior director administrators, CMOs, Medical Group Compliance, Internal Audit, Physician Compensation, Clinical Informatics / Clinical Informatics Educators, Quality Improvement Coordinators, and / or other external partners.
• Queries Physician / APP, Locum Tenens, residents / students when prompted by Professional Coding Department production coders to assist in resolving coding and documentation questions. Relays any coding changes, feedback, and education to Physician / APP, Locum Tenens, residents / students and / or clinic leadership, as appropriate.
• Monitors and works to resolve charge sessions requiring additional information for assigned clinicians and / or service line / specialty in the Epic work queues and / or other transfer work queues to ensure Clinicians are completing work timely to ensure proper supporting documentation for billing and timely filing.
• Attends and provides service line / specialty specific coding and documentation information, as requested, to CMOs, Physicians / APPs and / or Clinic / Site Department meetings. These may be virtually and / or in-person. Virtually attends Physician / APP education that include coding and / or documentation topics, such as Documentation Specialist clinician low risk review meetings, Risk Adjustment / HCC meetings, and / or Medical Group Compliance reviews / meetings.
• Collaborates with PSA Liaison to review and provide coding / documentation guidance on Epic order entry, diagnosis, and charge capture preference lists as well as SmartSets and templates.
• Develops Physician / APP monthly service line / specialty newsletters to continually educate and communicate updates from various coding resources including specialty society organizations. Communicates new services performed by Physician / APPs to Professional Coding department leadership.
• Identifies service line / specialty specific trending data and opportunities to capture revenue through documentation improvement. Attends service line / specialty specific coding and / or society conferences, as requested, to gain further knowledge that is uniquely relevant to that specialty and how coding, documentation, and billing are affected. Maintains expert knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards

Education, Experience and Certifications

License / Registration / Certification : Coding Associate (CCA) certification, or Coding Specialist - Physician (CCS-P) certification, or Health Information Administrator (RHIA) registration or Health Information Technician (RHIT) registration, or Professional Coder (CPC) certification, or Specialty Coding Professional (SCP) certification, and Specialty Medical Coding Certification obtained within 1 year.

Issued by (Governing Body) : American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPP), or Board of Medical Specialty Coding and Compliance (BMSC)

Level of Education : Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.

Field of Study (if applicable) : Medical coding or other related health field.

Years of Experience : Typically requires 5 years of experience in advanced-level professional coding and at least 3 years of experience educating / training licensed clinicians.

Describe Type Experience : Typically requires 5 years of experience in advanced-level professional coding and at least 3 years of experience educating / training licensed clinicians.

Pay Range

$28.05 - $42.10

Our Commitment to You :

Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including :

Compensation

Benefits and more

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.