Clinician Coding Liaison - Primary Care

13376 Enterprise Revenue Cycle - Individualized Clinician Services Primary Care and Medical Specialties

Full time

Yes

40

Will support:

• Primary Care Southeast region

Schedule:

• Monday through Friday hours between 6:00am-6:00pm CST

Certification required:

• Coding Certification issued by one of the following certifying bodies:
  American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).

Remote opportunity:

• Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, , IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Pay Range:

• $35.50 - $53.25

• 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.

• 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 Professional Coders (AAPC). Additional specialty credential preferred.

• Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required.

• Typically requires 4 years of experience in expert-level professional coding.

• Advanced Coding Expertise:
  In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.
• Medical Terminology & Anatomy:
  Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
• Epic & Reporting Solutions:
  Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.
• Critical Thinking & Analytical
  
  Skills:…