Clinician Coding Liaison - Ophthalmology and Optometry

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Clinician Coding Liaison - Ophthalmology and Optometry

Remote, United States

Job ID: R214665

Shift: 1st

Job Type: Regular

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Department:

10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Will support:

• NC/GA Ophthalmology and Optometry Clinicians

Desired Experience:

• Desired experience in Ophthalmology and Optometry

Schedule:

• Monday - Friday 1st shift 6:00 am - 6:30pm EST 40 hours a week.

Certification required:

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or

• Coding Specialist (CCS) certification, or

• Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or

• Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).

• Additional specialty credential preferred.

Remote opportunity:

• Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Pay Range

$35.50 - $53.25

Major Responsibilities:

• Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
• Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
• Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
• Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
• Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
• Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and Population Health-to enhance documentation practices and system optimization.
• Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
• Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.
• Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
• Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

Licensure, Registration, and/or Certification Required:

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or
• Coding Specialist (CCS) certification, or
• Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or
• Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).
• Additional specialty credential preferred.

Education Required:

• 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.

Experience Required:

Typically requires 4 years of experience in expert-level professional coding.

Knowledge, Skills & Abilities Required:

• Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.
• Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
• Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.
• Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.
• Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.
• Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.
• Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.
• Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance.
• Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment.

Physical Requirements and Working Conditions:

• Follow organizational and divisional remote work policy and guidelines.
• Operates all equipment necessary to perform the job.
• Handles a fast paced and creative work environment moving independently from one task to another.
• Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

#REMOTE

#LI-REMOTE

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

The Clinician Coding Liaison is a remote role serving as a key resource for clinicians in their coding and documentation education, trend analysis, and issue resolution. This position collaborates with Chief Medical Officers (CMOs), operational leaders, and Physician Billing (PB) coding leadership to address coding challenges, identify payer-specific trends, and ensure compliance with evolving regulations. Responsibilities include providing proactive education and feedback to Advocate Health (AH) employed Physicians, Advanced Practice Professionals (APPs), and Medical Group and Clinic Leadership to enhance documentation accuracy, charge capture, and compliance. Acting as the primary point of contact for coding and documentation inquiries, this role triages issues, identifies root causes, and facilitates problem resolution in partnership with relevant teams. Additionally, the liaison works closely with Clinician Coding Liaison team members, Production Coding, and Coding Support teams to improve coding accuracy, documentation specificity, and overall billing practices while monitoring payer-specific rules and coverage trends. For the purposes of this role, the term "Clinicians" refers to all billing providers.

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