Clinician Coding Liaison – Medical Based Specialties
Posted 16ds ago
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Job Description
Clinician coding liaison educating physicians and optimizing Epic documentation for Advocate Health’s pediatric and medical specialties. Improving coding accuracy, reimbursement, and regulatory compliance.
Responsibilities:
- Deliver proactive coding education through newsletters, scorecards, and presentations covering CPT, ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions
- Lead onboarding and compliance training for employed Physicians/APPs, Locum Tenens, residents, and students
- Review new clinician records and conduct spot checks to provide individualized documentation feedback
- Escalate non-coding issues to appropriate teams
- Serve as the primary contact for coding inquiries and coordinate resolution of complex issues such as NCCI bundling and high-complexity charge edits
- Monitor Epic work queues to ensure timely and accurate charge submissions and reduce claim denials
- Collaborate with CMOs, Clinical Informatics, Risk Adjustment, and Population Health
- Participate in specialty and department meetings, identify trends, and deliver targeted education
- Refine Epic documentation tools, templates, order entries, diagnosis lists, SmartSets, and SmartPhrases
- Ensure compliance with Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding
- Promote ethical coding and continuous improvement through timely updates, feedback, and education
Requirements:
- RHIA, RHIT, CCS, CCS-P, or CPC certification required
- RHIA, RHIT, CCS, or CCS-P certification must be issued by AHIMA where applicable; CPC certification must be issued by 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
- In-depth knowledge of ICD, CPT, and HCPCS coding guidelines
- Strong understanding of medical terminology, anatomy, and physiology
- Advanced knowledge of Epic and other reporting tools
- Proficiency in Microsoft Office Suite, electronic coding applications, and email communication
- Strong problem-solving, analytical thinking, attention to detail, prioritization, and deadline management
- Excellent verbal and written communication skills
- Ability to work independently, exercise sound judgment, and make informed coding and compliance decisions
- Ability to collaborate and contribute to process improvements
- Ability to follow organizational and divisional remote work policy and guidelines
- Ability to operate all equipment necessary to perform the job
- Ability to work cooperatively and effectively with individuals and teams
Benefits:
- Benefits Eligible: Yes
- Competitive compensation
- Opportunity for annual increases based on performance
- Paid Time Off programs
- Medical, dental, vision, life, and Short- and Long-Term Disability benefits
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Adoption assistance
- Paid parental leave
- Defined contribution retirement plans with employer match
- Other financial wellness programs
- Educational Assistance Program
- Programs that invest in career development
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
