Professional Billing- Coding/Education Specialist - REMOTE
Core
Serves as a Charge Generation Tracker (CGT) and regulatory gatekeeper to ensure compliance with coding and billing guidelines, while developing and conducting educational courses on professional documentation, coding, and billing.
Role type
Senior IC professional billing and coding specialist (education & compliance)
Builds
Revenue integrity processes, coding compliance frameworks, and educational training programs for clinical and administrative staff
Domain
Healthcare revenue cycle management, medical coding, and regulatory compliance
Required skills
CPC certification, CPT/HCPCS code knowledge, third-party payer policy expertise, regulatory compliance analysis, educational program development, quality audit execution, Epic Ambulatory system proficiency
Preferred skills
Experience with CMS updates, clinical documentation improvement, revenue enhancement strategies
Technologies
Epic, Microsoft Office, CMS publications, CPT/HCPCS coding systems
Responsibilities
Review assigned edits and route to appropriate owners for resolution; Develop and conduct educational courses and seminars on coding and billing guidelines; Monitor CMS and third-party coding publications for policy updates; Perform quality audits of patient accounts to identify improvement opportunities; Collaborate with clinical departments to ensure proper use of CGT files; Research third-party guidelines to ensure compliance with federal, state, and local payer requirements
