Coding Compliance Educator; medical coding​/documentation

Overview

Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission:
to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live
. With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine.

• remote-first culture that values flexibility and collaboration
• Opportunities to grow your career while making a real impact
• A team that champions inclusivity, innovation, and excellence

Whether working virtually or onsite at one of our practices, you’ll be part of a purpose-driven organization shaping the future of healthcare.

Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

• Medical insurance, Dental insurance, and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per year

The Coding Compliance Educator works under the supervision of the Director of Compliance Operations to ensure coding and documentation guidance is consistent across the organization. The Coding Compliance Educator is responsible for managing and responding to provider inquires. The Coding Compliance Educator will work very closely with providers and clinical leadership to provide education regarding compliance with guidelines and best practices.

The Coding Compliance Educator will present at clinical leadership meetings upon request.

• Excellent communication skills and ability to build strong relationships with clinical leadership and providers in a non-punitive manner.
• Preparation and creation of presentations for meetings with providers and clinical leadership;
  Strong preparation skills during meetings.
• Trains providers and clinical leadership on coding guidelines, ensuring compliance around clinical documentation, coding guidelines, MDM, acuity, ICD
  10, and coding industry standards and best practices.
• Assist Director of Coding Compliance with creation of job aids to describe coding rules for specialties including, Critical Care, Hospital Medicine, and Telehealth.
• Review and analyze new CPT coding guidelines and create education material annually or as needed based on changes.
• Reviews audit results with auditing team, to identify and analyze trends, and recommend and implement appropriate education.
• Schedule regular site meetings with all providers and clinical leadership to provide coding and clinical documentation improvement to coding accuracy.
• Manage and respond timely to provider inquiries.
• Assist the Director of Coding Compliance with maintaining a formalized review process that incorporates regular audits (provider, coding and documentation adequacy) and coordinates ongoing monitoring with education to provider.
• Works with auditors and conducts trend analyses to identify patterns, variations in coding practices and case-mix index, including areas of risk and comparing coding profiles with national norms.
• Develops and coordinates educational and training programs regarding elements of the coding compliance program, such as appropriate documentation, accurate coding, data compatibility, consistency and monitoring for compliance to improve the quality of clinical data supported.
• Provides feedback and focused educational programs based on the results of auditing and monitoring activities to affected providers and clinical leadership.
• Collaborates with Director of Coding Compliance to initiate corrective action plans, including the Administrative Good Standing status.
• Demonstrates up-to-date knowledge of healthcare regulatory, coding mandates and OIG work plan.
• Analyze audits and RA findings.
• Prepares…