Coding Educator

Conifer Health Solutions • Rock Hill, SC

6d

About The Position

The Coding Educator supports compliance with governmental and payer coding guidelines through continuous education, documentation audits using quality tools, and coordination with coding vendors. The role focuses on ongoing compliance, coding quality analysis, and preventing claim denials. The position monitors coding processes, identifies risk, responds to coding inquiries, analyzes coding performance and denials, and develops prevention and remediation plans in coordination with organizational leadership.

Requirements

• High school diploma or equivalent.
• 2–3 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 coursework in Anatomy and Physiology.
• AHIMA or AAPC coding credential, with CPC or CCS as the minimum preferred credential.

Responsibilities

• Monitor billing clearance processes for new clinicians, advanced practice providers (APRNs and PAs), coders, and ancillary staff performing coding functions, in compliance with TPR policy.
• Provide ongoing coding education to clinicians and ancillary staff on TPR coding policies, payer guidelines, and governmental regulations.
• Validate that billed services are accurately coded to identify and mitigate organizational risk.
• 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.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED