Why Mayo Clinic
This dynamic Revenue Cycle position promotes skills and experiences related to your clinical and coding knowledge, understanding of healthcare regulatory compliance, and interactions with clinical practice teams specific to documentation and coding requirements.
The Documentation and Coding Educator is accountable to work with providers to facilitate proper documentation and coding through education, documentation reviews, and practice interactions. This Documentation and Coding Educator validates that coding reflects medical necessity of services and facilitates appropriate documentation and coding to support an accurate reflection and reporting of services provided. This position provides direct feedback to physicians and advance practice providers, administrators, and other customers. Researches, analyzes, and presents compliance and regulatory materials to develop educational materials.
Utilizes advanced knowledge of disease processes (pathophysiology), medications, and possesses strong critical thinking skills to analyze current documentation to identify gaps. Has strong independent decision making, assessment, and reasoning skills. Knowledge of and demonstrated expertise in Evaluation and Management documentation and coding, CPT, ICD-10 CM, MS-DRGs, OPPS, Merit-Based Incentive Program, and other health care payment models. Understands and applies regulatory compliance related to documentation, coding and billing.
The Documentation and Coding Educator facilitates appropriate modifications to documentation through extensive research, interactions and collaboration with physicians, other providers, coding, compliance, and revenue cycle staff. Serves as an effective change agent as an educator and resource for physicians and allied health staff, by developing and presenting educational materials, serving as a subject matter expert when questions arise, reviewing documentation and educating on the findings, and researching needed information in order to provide necessary knowledge to improve the quality and completeness of the provider’s clinical documentation
Self-motivated and able to work independently without close supervision. Demonstrate the ability to work well with others in a creative and rewarding work environment. Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies.
Clinical health care experience (BSN, therapist, physician assistant, etc.) and a bachelor's degree with a minimum of three years clinical experience required. Or, Coder with coding or clinical documentation credentials (RHIT, RHIA, CPC, CCS-P, CCS, CCDS, or CCDS-O) and with a bachelor’s degree and five years of coding experience.
Knowledge of ICD-10 and CPT coding relative to physician clinical documentation within electronic medical records preferred. Experience in utilization review, clinical documentation, precertification, coding, Medicare regulations, quality assurance, Epic functionality or related area preferred with a strong understanding of anatomy, physiology, pharmacology, medical terminology and disease process. Has an advanced understanding of coding, billing and compliance practices.
Effective verbal and written communication including ability to present ideas and concepts effectively to physicians, management and other members of our healthcare team.
Demonstrated skills in analytical thinking and problem solving. Keeps detailed records electronically. Possesses expert investigational skills, shows attention to detail, accuracy and ability to manage and prioritize multiple tasks.
Self-motivated and able to work independently without close supervision. Ability to operate with a high level of productivity.
Demonstrated ability to work well with others in a creative and challenging work environment. Able to lead others through difficult situations. Works in and leads a team environment and develops constructive working relationships with others.
Must be able to work flexible day hours as required to meet business needs.
License or certification
Coding or Clinical Documentation Credentials (RHIT, RHIA, CPC, CCS-P, CCS, CCDS, CDIP, or CCDS-O) or current Registered Nursing license for the state location required.
Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum salary every 2 weeks is approx $2,644 based on a full-time position.
Hours / Pay period
Weekday normal business hours.
Telework opportunity is in place during COVID period, and may be long-term. Ideally, candidates may want to be open to some onsite availability/ reasonable travel to a Mayo Clinic facility in the future for work, client, or project meetings.
Mayo facilities: Rochester, MN, Phoenix, Arizona, Jacksonville, FL.
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Administration, Business, Finance
Job posting number
Equal opportunity employer
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.