[Hiring] Provider Coding Educator @Prisma Health

Role Description

Ensures all provider services are completely and accurately coded according to approved coding guidelines. Provides coding support to the providers and staff by performing periodic coding reviews, conducting various coding education and training sessions.

• Educates providers and coding staff within the physician practice setting on proper CPT, ICD-10 and HCPCS coding.
• Performs random reviews of physician charges to identify opportunities for charge capture, ICD-10 specificity and proper coding of all services rendered.
• Reviews and responds to coding questions submitted by physicians and coding staff within a timely manner.
• Communicates billing related issues to assigned supervisor/manager.
• Shadows provider and coding staff to confirm coding is supported by medical record documentation and identify opportunities to improve upon documentation and coding.
• Participates in workshops, seminars, webinars, and other educational opportunities to ensure continued learning.
• Maintains current certification(s) and working knowledge of ICD-10 and CPT coding guidelines.
• Recommends changes to billing procedures to achieve compliance with applicable laws, rules and regulations.
• Obtains and maintains instructor status for AAPC PMCC Coding Curriculum, if applicable.
• Coordinates class schedule and provides instruction for the PMCC Coding Curriculum offered by the AAPC, if applicable.
• Maintains knowledge of state and federal regulatory guidelines related to proper coding.
• Participates in meetings with Corporate Compliance to identify opportunities for improvement.
• Schedules education sessions with providers to provide education based on audit findings, if applicable.
• Participates in A/R Meetings to improve overall coding when applicable.
• Performs other duties as assigned.

Qualifications

• Bachelor's degree in Business or related field of study.
• Three (3) years billing and/or coding experience.
• In lieu of: Associate degree with 5 years of coding or coding/billing experience in a professional billing setting.
• High School Diploma with 7 years coding or coding/billing experience in a professional billing setting.

Requirements

• CPC - CERT PROFESSIONAL CODER.

Knowledge, Skills and Abilities

• Data entry skills.

Work Shift

• Day (United States of America).

Location

• Independence Pointe.

Facility

• Corporate.

Department

• Medical Group Coding & Education Services.