Provider Coding Educator, FT, Days, - Remote
Prisma Health•Greenville, SC
•Remote
About The Position
Ensures all provider services are completely and accurately coded according to approved coding guidelines. Provides coding support to providers and staff through periodic coding reviews and coding education and training. This is a non-management position reporting to a supervisor, manager, director, or executive. The role is based at Independence Pointe in the Corporate facility, within Medical Group Coding & Education Services, and is a day-shift remote position.
Requirements
- Bachelor's degree in Business or a related field of study; alternatively, an associate degree with five years of coding or coding/billing experience in a professional billing setting, or a high school diploma with seven years of such experience.
- Three years of billing and/or coding experience.
- CPC (Certified Professional Coder) certification.
- Data entry skills.
Responsibilities
- Educates providers and coding staff in physician practice settings on proper CPT, ICD-10, and HCPCS coding.
- Performs random reviews of physician charges to identify charge-capture opportunities, improve ICD-10 specificity, and ensure proper coding of services rendered.
- Reviews and responds to coding questions from physicians and coding staff in a timely manner.
- Communicates billing-related issues to the assigned supervisor or manager.
- Shadows providers and coding staff to confirm that coding is supported by medical-record documentation and identify documentation and coding improvements.
- Participates in workshops, seminars, webinars, and other educational opportunities to continue learning; maintains current certifications and working knowledge of ICD-10 and CPT coding guidelines.
- Recommends changes to billing procedures to support compliance with applicable laws, rules, and regulations.
- Obtains and maintains AAPC PMCC Coding Curriculum instructor status, if applicable; coordinates class schedules and provides instruction for the curriculum, if applicable.
- Maintains knowledge of state and federal regulatory guidelines related to proper coding.
- Participates in meetings with Corporate Compliance to identify improvement opportunities and schedules provider education based on audit findings, if applicable.
- Participates in accounts receivable meetings to improve overall coding, when applicable.
- Performs other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
