Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

This role provides educational and physician support for coding and billing practices. Obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third party regulations on an on-going basis to clinicians and professional coders. Providing continuing education in coding and billing of specialty services and third party regulations. This role will also act as a liaison between coding personnel and other staff groups—from clinicians to staff responsible for authorizations, billing, and denial management, as well as executive leadership.

As a successful candidate, you will:

• Focusing on potential documentation improvement opportunities and issues by specialty for E&M, surgical, and ancillary clinicians. Creates and tailors all modules of a successful education process, including lesson plans and teaching materials for physicians, divisions, departments, as well as supporting providers such as PAs and NPs. (e.g. audiovisual aids, competency examinations, and presentations)
• Train new providers and faculty staff on E&M coding of their professional services, surgical coding of their professional specialty, and ancillary coding for authorization, approval, and denial remediation.
• Review remittance advises with physicians, outside specialists, and audit specialties for rejection resolution, negotiations, and future training opportunities.
• Work with various leadership and clinical departments to design relevant trainings specific to an identified need of the clinical department as well as the direct communication, both virtual and onsite, with physicians to insure adequate training and conceptual mastery.
• Work with Revenue Cycle leadership and Compliance determine areas of both risk and opportunity as well as provide information and training on regulatory updates and standards to physician, providers, and PBS staff. Documents and maintains provider records to ensure training requirements are fulfilled; reports staff who do not complete required education
• Establishes relationships with clinicians by holding personalized discussions, attending education-based departmental meetings, and participating in rounding when requested. and concisely, and periodically offers additional training
• Assist with the development and /or revision of EPIC templates as may be required from time to time.
• Provide suggestions on appropriate documentation to ensure complete and accurate billing that reflect current demands of regulatory and third party payers.

Your qualifications should include:

• Bachelor’s degree in a relevant field (experience may substitute for education requirement).
• 6 years of related experience in a healthcare setting.
• Certified Professional Coder with active AAPC membership, or CCS-P with active AHIMA membership.
• Preferably: Prior experience in oncology/clinical background in an outpatient or teaching facility.

City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here. To learn more about our Comprehensive Benefits, please CLICK HERE.