Coding Educator

Valley Staff VHS Physician Svcs • Harlingen, TX

108d

About The Position

The Coding Educator (CE) functions under the direction of the National Manager, Audit & Coding Education. The CE is responsible for ensuring the TPR coding guidelines, payer guidance and policies along with governmental regulations pertaining to coding and documentation are met within the TPR organization. The CE is responsible for presenting continuous coding education to clinicians and support staff. The CE is responsible to prevent coding denials through quality and quantitative analysis, tracking and monitoring post education performance. The CE operates as the coding vendor liaison inclusive to but not limited by monitoring daily coding accuracy and coding turnaround times. The CE continuously investigates MAC releases and updates, CMS guidance and regulations and payer updates to improve coding performance and compliance. The CE is responsible to audit and provide results, discuss opportunity improvements to newly onboard clinicians, advanced practitioners, physician assistants and any staff that performs coding functions in the assigned TPR market. This is extended to established providers the CE has identified as needing additional coding guidance. The CE will perform various audits based on quality tools including the TPR Bell Curve.

Responsibilities

• Ensure TPR coding guidelines, payer guidance, and governmental regulations are met.
• Present continuous coding education to clinicians and support staff.
• Prevent coding denials through quality and quantitative analysis.
• Track and monitor post-education performance.
• Act as the coding vendor liaison, monitoring daily coding accuracy and turnaround times.
• Investigate MAC releases, CMS guidance, and payer updates to improve coding performance.
• Audit and provide results to newly onboard clinicians and staff performing coding functions.
• Identify established providers needing additional coding guidance.
• Perform various audits based on quality tools including the TPR Bell Curve.

What This Job Offers

• Job Type: Full-time