Coding and Documentation Specialist

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<strong>Overview</strong><br><br><p style="margin: 0in 0in 8pt; line-height: 115%; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">The <strong>Remote</strong> <strong>Coding and Documentation Specialist</strong>, under the supervision of the Coding & Documentation Supervisor, is responsible for ensuring high quality accurate medical record documentation reviews, coding reviews, training, and education for Forefront physicians, NP’s, PA’s. This individual must have strong communication and critical thinking skills. Dedication to consistent professionalism and teamwork is required. </span></p> <br><strong>Responsibilities</strong><br><br><ul style="margin-top: 0in; margin-bottom: 0in;"><li style="margin: 0in 0in 0in 0px; line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Conducts coding and documentation audits across general and surgical dermatology, plastic surgery, and pathology services.  Analyzes data, identifies trends, determines root causes, and implements corrective action plans to mitigate compliance and financial risk. </span></li><li style="margin: 0in 0in 0in 0px; line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Interprets and applies complex coding regulations (CPT, ICD-10, HCPCS) and payer guidelines, exercising independent judgment to resolve ambiguous or high-risk coding scenarios. </span></li><li style="margin: 0in 0in 0in 0px; line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Serves as a subject matter expert by advising providers and leadership on coding practices, documentation standards, and regulatory requirements. </span></li><li style="margin: 0in 0in 0in 0px; line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Designs and delivers targeted education programs for physicians and advanced practice providers based on audit findings, risk areas, and organizational priorities. </span></li><li style="margin: 0in 0in 0in 0px; line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Develops and maintains coding procedures, policies, and training materials to ensure alignment with evolving regulatory and payer requirements. </span></li><li style="margin: 0in 0in 0in 0px; line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Supports revenue cycle operations by resolving complex coding issues, including claim edits, denials, and appeals, and escalating compliance risks as appropriate. </span></li><li style="margin: 0in 0in 0in 0px; line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Supports onboarding and integration of new practices, including due diligence coding assessments, and provides actionable recommendations to improve operational, compliance, and financial outcomes.</span></li></ul> <br><strong>Qualifications</strong><br><br><ul><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;">Associate's degree preferred, or equivalent combination of education, training, and experience.<span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="line-height: 115%;"> </span></span></span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">3+ years of progressive experience in medical coding, auditing, or documentation improvement; dermatology coding experience strongly preferred. </span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">In-depth knowledge of evaluation and management (E&M) coding and demonstrated ability to interpret regulations and apply independent judgment in complex coding and compliance scenarios.</span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Experience developing training programs, policies, or audit methodologies preferred. </span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Strong analytical, critical thinking, problem-solving, and time management skills, with the ability to prioritize competing deadlines and maintain productivity. </span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Excellent communication skills, including the ability to educate physicians and provide constructive feedback on documentation and coding practices. </span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="line-height: 115%;">Proficiency in electronic health record (EHR) systems (NextGen, EMA preferred) and Microsoft Office applications, with the ability to manage multiple priorities and drive projects to completion</span>.</span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif; font-weight: bold;"><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="line-height: 115%;">Other Licensures or Certifications not Listed: </span><span style="line-height: 115%;">CPCD, CPC, CCS, CBCS, or CPMA or equivalent.</span></span></strong></li></ul><p style="margin: 0in; line-height: 115%; font-size: 12pt; font-family: Aptos, sans-serif;"> </p><p style="margin: 0in; line-height: 115%; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="line-height: 115%;">Physical Demands</span></span></strong></p><ul><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="line-height: 115%;">Sitting for extended periods</span></span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Manual dexterity for typing and computer use</span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Visual acuity for reading screens and documents</span></li><li style="line-height: 115%; font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span style="font-size: 10pt; line-height: 115%; font-family: arial, helvetica, sans-serif;">Verbal communication via phone or in person</span></li></ul><p><strong>For this position, the base pay range is $62,000 - $67,000 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education, certifications, or training.</strong></p> Forefront Dermatology is committed to providing equal employment opportunity and maintaining a workplace for employees and applicants that is free from discrimination based upon age, race, religion, color, disability, marital status, sex (including pregnancy), national origin, ancestry, ethnicity, sexual orientation, gender identity or expression, genetic information, veteran or military status, or any other status protected by applicable federal, state, or local law. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, please contact hr@forefrontderm.com to let us know the nature of your request and your contact information.

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