Clinician Coding Liaison - Medical Specialties - Dental

Position: Clinician Coding Liaison - Medical Based Specialties - Dental
Job Description

• Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
• Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
• Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
• Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
• Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
• Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.
• Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
• Refine Epic documentation tools, including templates, order entries, diagnosis lists, and Smart Sets/Smart Phrases, to improve efficiency and accuracy.
• Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
• Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

Major Responsibilities

• Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
• Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
• Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
• Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
• Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
• Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.
• Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
• Refine Epic documentation tools, including templates, order entries, diagnosis lists, and Smart Sets/Smart Phrases, to improve efficiency and accuracy.
• Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
• Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

Licensure, Registration, And/or Certification Required

• Registered Health Information Administrator (RHIA) or
• Registered Health Information Technician (RHIT) certification, or
• Coding Specialist (CCS) certification, or
• Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or
• Professional Coder (CPC) certification issued by the American Academy of…