Coding Compliance Educator

CHI Memorial Mountain Management 

CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

We care about our employees’ well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs

Employee Assistance Program (EAP) for you and your family

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft 

Adoption Assistance

Paid Time Off (PTO) 

Tuition Assistance for career growth and development

Matching Retirement Programs

Wellness Program

If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!

The Documentation and Education Specialist is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture.  Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and LEARN modules.  Develops, maintains and presents coding and compliance educational materials to staff and clinicians.  Collaborates with the coding manager to support the needs of the coding department where coding expertise/education is needed.

Essential Function

Acts as documentation and coding liaison to clinicians to include review, education and necessary follow-up to help ensure that clinical documentation and coding services meet government and organizational policies and procedures.

Analyzes and provides education on revenue capture, clinical documentation including Electronic Health Record (EHR) requirements, coding accuracy and denial management to clinicians and clinic staff.

Assists in determining educational needs based on documentation reviews, provider/staff feedback, data analysis (bell curves).

Performs a minimum of an annual review of each clinician and specialty to identify clinical documentation and coding areas that require improvement and additional education.

Reviews documentation and coding for new providers for accuracy and charge capture as per standard.

Prepares necessary reports and communicates results of audits to management, clinicians, and committees as appropriate.

Reports areas of risk directly to the Coding Integrity Manager/Supervisor.

Maintains a high level of competency related to clinical documentation and coding in assigned specialty and other areas and compliance with government regulations by attending appropriate workshops and seminars.

Working knowledge of concepts, practices, policies, procedures, standards, systems and tools applicable to medical records coding; including documentation requirements and medical terminology.

Possess a strong work ethic with demonstrated ability to work independently or collaboratively as part of a team with multiple priorities and deadline constraints.

Maintain confidentiality of patient information.

Participate in departmental projects in order to enhance efficiency, systems, education, patient care or personal growth.

Participates in special projects and completes other duties as assigned.

High School Diploma/GED Required

Licenses/Certifications

Certified Coding Specialist (CCS)

or

Certified Professional Coder (CPC)

or

Certified Professional Coder Hospital Apprentice (CPC-HA)

or

Certified Professional Coder Apprentice (CPCA)