Physician Advisor - Coding

Employer
Lehigh Valley Hospital
Location
Allentown, Pennsylvania
Closing date
Nov 7, 2023

View more

Specialty
General Practice
Hours
Full Time
Position Type
Permanent
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Overview:

Expert clinician with CDI/coding background who works in partnership with multidisciplinary teams, including CDI/Coding, quality, senior leadership, clinical leadership & medical staff to improve the accuracy and quality of the ambulatory medical record documentation. Maintains clinical and professional competencies for subject matter expertise in ambulatory coding & clinical documentation integrity concepts. Develops and conducts medical staff education regarding accurate risk-adjustment documentation of HCCs and professional fee documentation and coding.

Job Qualifications:

  • Conducts select comprehensive reviews of professional fee - and HCC-related clinical documentation and coding and uses data to address provider professional fee opportunities and issues.
  • Intervenes with providers and/or leadership as needed in any cases or issues escalated from CDI or Coding teams. Provides associated targeted educational feedback to provider, provider champions, and/or leadership.
  • Serves as a liaison between CDI and Coding departments and providers, departments, divisions and leadership.
  • Assists in configuring, developing, and customizing EHR and AI/CAPD software for clinicians.
  • As a subject matter expert, facilitates, develops, and provides education to providers, departments, residents, network leadership, and CDI and Coding teams on accurate and complete clinical documentation for professional fee and risk-adjustment/ value-based care. This includes education for E/M (Evaluation and management) leveling, accurate use of CPT codes, accurate HCC capture/risk-adjustment, accurate quality metrics, recovery auditor tactics, and ICD-10 Coding guidelines.

Required:

Education

  • Doctorate MD/DO

Licenses

  • MD/DO Upon Hire

Certifications

  • CCDS-O within 2 Years

Experience

  • 5 years CDI or Coding Physician Advisor

Knowledge, Skills and Abilities - Required

  • Strong understanding of risk-adjustment documentation and coding concepts and methodologies.
  • Strong interpersonal skills, excellent communication skills, strong analytical skills
  • Knowledge of Pro fee E/M documentation and coding requirements
  • Word and PPT experience
  • Experience using EPIC

Benefits & Perks:

  • VIRTUAL! Attractive Work Schedule
  • Competitive compensation with a superb benefits package
  • Low-cost health insurance for employees and their families.
  • Top-tier retirement programs.
  • Public Service Loan Forgiveness Assistance Program.

Influenza vaccination and COVID-19 Vaccination is required for all colleagues unless medically contraindicated or due to a bona fide religious belief or practice. Applicants possessing a medical marijuana card will not be considered for safety sensitive positions.

EEO

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