Education Specialist, Provider Coding

WakeMed Health & HospitalsRaleigh, NC

About The Position

Serves as the subject matter expert and resource for provider coding education, coding staff education, coding related questions, and insurance denials. Responsible for developing a work-plan to conduct financial and other specified audits so that appropriate education can be developed, prioritized, and delivered to providers and coders. Analyzes and trends data to identify areas of opportunity related to documentation and coding. Educates providers regarding correct documentation per CMS guidelines to ensure the organization is billing appropriately. Stays current on coding updates and communicates changes to providers and coders in a timely manner. Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE

Requirements

  • Certified Professional Coder Or Certified Coding Specialist- Physician Or Registered Health Information Technician Required
  • High School Diploma or Equivalent Required
  • 5 Years Coding - Physician Or Auditing Required

Responsibilities

  • Serve as the subject matter expert and resource for provider coding education, coding staff education, coding related questions, and insurance denials.
  • Develop a work-plan to conduct financial and other specified audits so that appropriate education can be developed, prioritized, and delivered to providers and coders.
  • Analyze and trend data to identify areas of opportunity related to documentation and coding.
  • Educate providers regarding correct documentation per CMS guidelines to ensure the organization is billing appropriately.
  • Stay current on coding updates and communicate changes to providers and coders in a timely manner.
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