Educator/Compliance Job in Lakeland, Florida

Required Education and Experience: High School diploma or equivalent. A minimum of 2-3 years in healthcare reimbursement &/or coding experience. Knowledge in medical terminology and anatomy.Knowledge of insurance reimbursement, principles, and practice.Proficiency with Microsoft Office.  Certification: American Academy of Professional Coders (AAPC) – CPC or equivalent organization, American Health Information Management Association, AHIMA –CCS) for a minimum of 2 years. CRC (Certified Risk Coder) certification obtained within 6 months of date of employment.

Preferred Education and Experience: Knowledge of GE-IDX, Epic,& Cerner for retrospective or concurrent documentation reviews.

Essential Functions: 
Demonstrate a contribution to the department’s operation (Practice Assessments, retrospective &/or concurrent documentation reviews) and goals/targets for the year. Maintain monthly log of activity. Prioritize workload and maintain control over interruptions.

Review all reimbursement tools for coding/policy additions, revisions and deletions. Items must be communicated in a timely manner to all pertinent providers and staff.

Remain current with CMS/Federal guidelines (i.e., federal register, transmittals and LCD’s). Conduct classroom education for coding and reimbursement following payer guidelines. Provide information based on CPT, ICD-10, HCPCS and RAF scores. Provide information on federal and local healthcare regulation reimbursement policies and procedures.

Adheres to guidelines set by the clinic’s Compliance Program and Audit policy and procedures

Please note: This position is an onsite position (non-remote).