Provider Coding Educator, FT, Days,

Prisma Health • Greenville, SC

3d

About The Position

The Provider Coding Educator ensures provider services are completely and accurately coded according to approved coding guidelines. The role supports providers and staff through periodic coding reviews and coding education and training in physician practice settings. It reports to a supervisor, manager, director, or executive and is a non-management position.

Requirements

• Bachelor's degree in Business or a related field of study.
• Three years of billing and/or coding experience.
• Required certification: CPC (Certified Professional Coder).
• Data entry skills.

Responsibilities

• Educate providers and coding staff in physician practice settings on proper CPT, ICD-10, and HCPCS coding.
• Perform random reviews of physician charges to identify opportunities for charge capture, ICD-10 specificity, and proper coding of services rendered.
• Review and respond to coding questions from physicians and coding staff in a timely manner.
• Communicate billing-related issues to the assigned supervisor or manager.
• Shadow providers and coding staff to confirm coding is supported by medical record documentation and identify opportunities to improve documentation and coding.
• Participate in workshops, seminars, webinars, and other educational opportunities to support continued learning.
• Maintain current certification(s) and working knowledge of ICD-10 and CPT coding guidelines.
• Recommend changes to billing procedures to achieve compliance with applicable laws, rules, and regulations.
• Obtain and maintain instructor status for the AAPC PMCC Coding Curriculum, if applicable.
• Coordinate the class schedule and provide instruction for the AAPC PMCC Coding Curriculum, if applicable.
• Maintain knowledge of state and federal regulatory guidelines related to proper coding.
• Participate in meetings with Corporate Compliance to identify opportunities for improvement.
• Schedule education sessions with providers based on audit findings, if applicable.
• Participate in accounts receivable meetings to improve overall coding, when applicable.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time