Provider Documentation Educator
·Will work primarily in the clinics and clinic work areas to support the providers in revenue cycle functions. The Moffitt Medical Group (MMG) Provider Documentation Educator will train the residents, medical staff and advanced practice professionals (APPS) on proper documentation of evaluation and management services, and assist and train with charge capture software such as Patient Keeper. Will also support the surgeons by obtaining a thorough understanding of procedures performed and educate them on documentation required for compliant and accurate coding. They will also give regular feedback on cases coded and billed.
The Ideal Candidate will have:
·Experience with automated patient care/billing systems.
·Knowledge of ICD -10, PPC coding rules, and Evaluation and Management coding guidelines.
·Good understanding of ICD10, CPT-4, and HCPCS coding and the effects of the data quality on prospective payment, utilization, and reimbursement for multiple medical professional service specialties.
·Experience with coding Oncology related services (preferred).
·Experience with Cerner, Soarian, Optum, 3M (preferred).
·Working proficiency in Microsoft Office applications, i.e. Word, Excel, PowerPoint, and Outlook.
·Provide initial education and ongoing support within the clinics for residents, APP's, and physicians for accuracy and adequacy of documentation for complete charge capture.
·Work with the professional practice coder and the denials team to provide feedback to the providers on the results of abstraction audits and periodic chart audits, and also feedback on denials that can be addressed with documentation.
·Develop curriculum and training materials to support professional medical documentation.
·Present analytical reporting on surgical cases to the appropriate physicians for transparency, and to ensure the providers, professional practice coders, and corporate compliance staff are in agreement or issues are addressed timely.
·Determine that support systems (3M, Optum, and Patient Keeper) are sufficiently capturing services rendered to patients and to assess compliance with Medicare, and other third party requirements for coding and billing purposes.
Credentials and Qualifications:
·Bachelor's Degree in Healthcare, Business, or Information Technology.
·Minimum of five (5) years of professional medical coding experience required.
* In lieu of Bachelor's Degree, ten (10) additional years of professional coding experience for a total of fifteen (15) years of coding experience will be considered.*
·Minimum ten (10) years working in a health care setting required.