Tandym Group has several immediate opportunities for Sr. Physician Revenue Cycle Trainers with a client in new York. These roles will be focused on supporting physician education on coding, charging, billing and compliance procedures for inpatient and outpatient settings.
Expectations:
- Review existing educational materials and augment as needed
- Develop plan to provide inpatient physician medical billing and compliance education leveraging data and existing knowledge to focus on the highest impacted areas including both inpatient and outpatient
- Works closely with project manager to design and implement comprehensive medical billing, compliance and charge capture education plan
- Provide in person targeted education at standing physician meetings, focusing on the highest impacted areas or service lines
- Implement performance measurement model and audit process
- Remediate areas of underperformance and noncompliance
- Create ongoing maintenance and roll-out education plan
Essential Skills:
- Experience with both clinical and billing/coding
- Specific to level of care, in inpatient and outpatient settings
- Knowledge of AMA CPT codes, ICD-10 diagnosis codes, and billing modifiers
- Knowledge of provider billing of CPT codes and the association of accurate diagnosis codes based off level of care, time spent with the patient, and overall services provided
- Knowledge of provider billing based off medical decision making (MDM)
- Knowledge of patient admission and discharge process and management
- Understanding of shared visits between provider/resident or APP and how to appropriately bill
- Understanding of bedside procedures and how to bill compared to overall time spent with patient
- Able to interpret clinical documentation and translate to billable codes, based off the scope and complexity of services provided
- Ability to audit patient documentation and analyze trends that uncover potential deficiencies with accuracy and/or non-compliant provider charging
- Ability to collect analysis and structure findings with presentation that speaks to a provider's language
- Experience with putting together a comprehensive, long term, training program and providing training
- Ability to support PM with creation of training material, facilitation of inpatient physician charge capture education program
- Expectation to be the main SME for inpatient and outpatient physician charge capture education program
Preferred Qualifications:
- Experience with cancer centers
- Experience with teaching hospitals and Resident billing
- Clinical Documentation Improvement Background
- Coding Background
- Epic experience
