The individual in this role will serve as the key point of contact for coding and documentation information for ProFee coding in the hospital and ASC setting, providing feedback, and charge capture resolution. Acts as a liaison between our Providers [Physician and/or CRNA) and the Physician Coding RCM Department. Coordinates communication and process information between Coding, Physicians/Providers, Medical Group Operations Leadership, Provider Compensation, Clinical Informatics, Compliance, and other partners.

This is a remote position; travel will be required.

At this time, US Anesthesia Partners does not hire candidates residing in New York, California, Hawaii, or Alaska.

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

• Reviews and provides QA of professional coding accuracy and quality and educational feedback to coders and providers.
• Provides Clinical Documentation review (CDI) and provider education to support correct coding and regulatory compliance.
• Provides on-site and or remote coding and documentation education and feedback related to anesthesia coding, payer requirements, may perform rounding at sites and departments to provide adequate on-site support.
• Creates and delivers curriculums for current and newly hired physicians/healthcare providers, coders, and clinical documentation specialists.
• Coordinates and delivers shared webinars and live presentations on topics relating to coding and documentation.
• Independently leads documentation reviews and feedback for new business and facility integrations.
• Queries Physicians/Providers prompted by Physician Coding Department Coders to assist in resolving coding and documentation questions. Relays any coding changes, feedback, and education to Physicians/Providers as appropriate.
• Attends and provides coding and documentation information sessions, a requested, to Physician/Provider and/or Clinic/Site Department meetings.
• Conducts Physician/Provider education that include coding and/or documentation topics, such as Documentation Specialist Provider on-line review meetings, and RCM division meetings.
• Reviews and provides coding and/or documentation guidance, initiates updates to record or EMR templates.
• Under the Direction of QA/Education - Develops Physician/Provider specialty monthly reports to continually educate and communicate updates.
• Communicates Physician/Provider new services to Physician Coding RCM Department
• Identifies and/or prompts clinical documentation improvement (CDI) and charge capture efficiency and opportunities.
• Independently supports and maintains provider and client relationships as the point of contact.
• Maintains current knowledge of Medicare, Medicaid, and other regulatory requirements pertaining to nationally accepted coding policies and standards.
• Identifies and/or prompts documentation improvement as well as charge capture
• Takes ownership of special projects, research data and follows through with detailed action plans.
• Other duties as assigned

REPORTING TO THIS POSITION: No direct reports

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

• This role requires 5 years of experience in expert-level Anesthesia professional coding and billing and at least 3 years of experience in education/training of licensed providers.
• RCM Anesthesia Billing expertise required.
• Experienced Client Services Professional preferred
• Experience with LMS content creation preferred.
• EPIC EMR experience preferred.
• Ability to speak as a national or regional content expert required.
• Data analysis experience required.
• This is a remote position; varied travel will be required up to 30%.

LICENSES & CERTIFICATIONS

(Required)

• Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC) or,
• Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA)

(Optional)

• Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or
• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
• Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
• (CHC) through the Healthcare Compliance Association (HCA)

EDUCATION/TRAINING/EXPERIENCE:

• High School Diploma required; Bachelor’s preferred, will consider a combination of education and work experience equivalent.
• Advanced training that includes the completion of an accredited or approved program.
• Clinical Licensing and experience welcomed.

*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

DISCLAIMER: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.