Key Responsibilities:
As a Coding Analyst and Educator, you will play a key role in improving coding accuracy and clean claims processing by:
- Identifying trends in coding errors, supporting root cause analysis, and collaborating with coding and training staff to drive improvements.
- Staying up-to-date on regulations and guidelines to ensure accurate use of CPT codes and documentation.
- Demonstrating expertise in coding systems and medical record documentation requirements, with the ability to interpret clinical documentation for accuracy.
- Serve as a key point of contact for clinicians (Physicians and Advanced Practice Providers) regarding documentation and coding issues.
- Engage with clinicians one-on-one to identify opportunities for documentation improvement and collaborate with clinical and coding education teams to provide targeted training.
- Research and interpret coding guidelines and internal business rules to resolve coding inquiries and issues.
- Advise staff on quality improvement opportunities and help correct errors related to coding practices.
- Verify accurate code usage by consulting official coding resources, policies, and manuals, and work with payors to educate them on specific coding rules.
- Conduct Quality Assurance reviews of post-visit documentation and report quality concerns and coding errors to leadership.
- Identify potential missed coding opportunities within encounters.
- Address non-billable services at the provider level and ensure timely correction of documentation deficiencies, such as missing chief complaints or time for audio-only visits.
- Serve as a liaison between teams to ensure timely updates on documentation requirements and process changes.
- Collaborate with compliance and coding education specialists to create effective educational resources.
- Lead special projects and initiatives within the division/market as requested by leadership.
- Perform chart reviews to identify educational opportunities and conduct individual chart research when needed.
- Participate in payor calls and chart reviews, compiling findings and assisting with follow-up research.
- Engage in payor meetings to ensure accurate data submission and maintain relationships with payor representatives.
- Minimum of 5 years of coding experience in a multi-specialty healthcare setting.
- Certified Professional Coder (CPC) certification for at least 5 years.
- Advanced coding certifications preferred.
- Experience in training and educating providers, coders, and staff.
- Knowledge of EclinicalWorks preferred.
- Full-time position.
- Remote work opportunity available.
- Video chat required for meetings and collaboration.
- Excellent verbal and written communication skills are essential.
Top Skills
What We Do
Bayview Physicians Group is a premier, multi-specialty, independent physicians group, serving neighborhoods in the Hampton Roads area, including Carrollton, Chesapeake, Franklin, Norfolk, Suffolk, and Virginia Beach. Bayview offers quality medical services with over 300 providers in 72 outpatient care sites, 6 Urgent Care Centers and 5 hospitals. We are proud to offer convenient locations for regular doctor appointments, after hours Urgent Care services and, when needed, inpatient hospitalist services.
Over the past 26 years, our group has expanded to provide expert treatment in Family Medicine, Internal Medicine, Urgent Care and specialties including Cardiology, Dermatology, Ear, Nose & Throat, Endocrinology, General Surgery, Hospital Care, Neurology, OB/GYN, Occupational Medicine, Physical Medicine & Rehabilitation, Podiatry, Pulmonary & Critical Care, Rheumatology, and Sleep Medicine. Our team is comprised of many of the finest physicians and medical staff in the area.
Bayview has also assembled a top-notch team of physicians dedicated to caring for hospitalized patients. Hospitalists bridge the gap between inpatient and outpatient care and provide consistent and attentive care when the need for hospitalization arises. Our team of hospital physicians provides in-patient services at Chesapeake Regional Medical Center, Sentara Leigh Hospital, Sentara Obici Hospital, Sentara Princess Anne Hospital, and Sentara Virginia Beach General Hospital.
In order to help our patients navigate a myriad of healthcare options, Bayview offers the convenience of electronic medical records and our offices are equipped with state of the art technology. We offer lab services at all locations and x-ray services at select locations, including all of our Urgent Care locations.
Our promise is to provide quality healthcare that has value to our patients. Please explore our website to find an office in or near your neighborhood.
