Coding Quality Education Specialist

Essential Functions: - Audits charts and revies clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere - Identifies trends in improper coding or other communication shortcomings that may lead to claim denials or audits - Complies with all medical coding guidelines and monitors evolving regulatory and industry changes - Provides targeted education, direct coaching, and facilitates training programs tailored to each medica specialty upon translating audit findings - Follows up and clarifies any information that i s not clear with the rendering provider - Collaborates with IT and EHR teams to improve charge automation and optimize workflows - Conducts ad-hoc audits to ensure fidelity to coding guidelines - Relevant expert for Southwest Network on accurate and efficient coding practices - Analyze medical records and identify documentation deficiencies Nonessential Functions: - Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program - Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to the legal, ethical and professional guidelines adopted by Southwest Network - Other duties as assigned