Coding Educator

Tenet Healthcare Corporation•Piedmont, SC

About The Position

The Coding Educator supports compliance with governmental and payer coding guidelines by providing ongoing education to staff, auditing documentation with quality tools, and serving as the primary liaison to coding vendors. The role focuses on continuous compliance through education and quality analysis, and on preventing claim denials. The position monitors coding and billing clearance processes, validates the accuracy of billed services, researches and shares coding updates, audits coding patterns, responds to coding questions, analyzes coding KPIs and denials, and develops prevention and remediation plans. It works with clinicians, ancillary staff, coding vendors, and the regional coding director.

Requirements

High school diploma or equivalent.
Two to three years of coding, training, or auditing experience in a multi-specialty medical environment.
Knowledge of government regulations for professional coding and documentation.

Nice To Haves

Post-secondary Anatomy and Physiology education.
AHIMA or AAPC coding credential; CPC or CCS preferred at a minimum.

Responsibilities

Monitor billing clearance processes in accordance with TPR policy for new clinicians, advanced practice providers (APRNs and PAs), coders, and ancillary staff who perform coding functions.
Provide continuous coding education to clinicians and ancillary staff to support adherence to TPR policies, payer guidelines, and governmental regulations.
Identify and mitigate organizational risk by validating the accuracy of coding for billed services.
Research and share updates on coding information, rules, laws, and statutes from payers and government entities with providers and relevant staff.
Monitor coding patterns, conduct audits, and provide constructive feedback to clinicians and staff.
Review and promptly respond to coding inquiries from clinicians and ancillary staff.
Analyze coding KPIs and monitor denials to develop and implement strategic prevention plans with defined benchmarks and milestones.
Serve as the primary liaison between the organization and coding vendors, leading interactions within assigned markets.
Establish and execute recovery or remediation plans for identified coding errors, with approval from the regional coding director.
Organize and actively participate in scheduled coding team meetings.