Coding Education Advisor - Administration and Operations

Responsibilities:

• Responsible for obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third party regulations on an on-going basis. 
• Reviews medical records for regulatory compliance with the major third parties. 
• Works with Penn Medicine Medical Group (PMMG) Leadership to optimize processes related to coding, access to care, revenue cycle, and operations. 
• Develop and/or revise Divisional forms to ensure complete and accurate billing. 
• Provide Divisional support for coding and billing practices. 
• Responsible for providing the liaison function to all third party payers, Entity Administration and the Department/Division personnel relative to reimbursement issues. 
• Reports to and works with the Director, Ambulatory Access Optimization to identify methods and develop implementation plans for maximizing revenue and reimbursement. 
• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures 
• Other duties as assigned to support the unit, department, entity, and health system organization

Credentials:

• Certified Professional Coder (Required)
• Certified Professional Coder (CPC) status or equivalent (eg, RHIA) credential required.

Education or Equivalent Experience:

• Bachelor of Arts or Science (Required)
• 2+ years Clinical or related experience ( Required)