● Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
● Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
● Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
● Develops and delivers virtual coder education programs, including webinars, presentations, training materials, and educational resources to support coding accuracy, compliance, and professional development.
● Identifies coding trends, audit findings, and knowledge gaps and develops targeted educational content to address opportunities for improvement.
● Collaborates with leadership and clients to design, develop, and maintain educational materials, reference tools, and learning resources.
● Serves as a subject matter expert by presenting coding and compliance topics to coders, providers, and other healthcare stakeholders.
● Function in a professional, efficient and positive manner
● Adhere to the American Academy of Professional Coder (AAPC)’s code of ethics
● Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
● High complexity of work function and decision making
● Strong organizational, teamwork, and leadership skills
● Keeps abreast of regulatory changes