Provider Coding Educator

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Ensure that all provider services are coded completely and accurately in accordance with the established coding guidelines.

• Offer coding assistance to providers and staff through regular coding reviews as well as educational and training sessions on coding.

• Instruct providers and coding personnel on the correct use of CPT, ICD-10, and HCPCS coding.

• Conduct random reviews of physician charges to uncover opportunities for charge capture, enhance ICD-10 specificity, and ensure correct coding.

• Address and resolve coding inquiries from physicians and coding staff.

• Relay billing-related concerns to the designated supervisor or manager.

• Shadow providers and coding staff to confirm that coding is substantiated by medical record documentation.

• Engage in workshops, seminars, webinars, and other educational initiatives.

• Suggest modifications to billing procedures to ensure compliance with relevant laws, rules, and regulations.

• Acquire and maintain instructor status for the AAPC PMCC Coding Curriculum, if applicable.

• Organize class schedules and provide instruction for the AAPC PMCC Coding Curriculum, if applicable.

• Take part in Corporate Compliance meetings and arrange provider education sessions based on audit results, if applicable.

• Attend A/R meetings to enhance overall coding practices.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• Bachelor’s degree in Business or a related field of study.

• An Associate degree combined with 5 years of coding or billing experience in a professional billing environment may be accepted as a substitute.

• A High School Diploma along with 7 years of coding or billing experience in a professional billing setting may also be considered as a substitute.

• A minimum of three (3) years of billing and/or coding experience.

• CPC - CERTIFIED PROFESSIONAL CODER certification is required.

• Proficient data entry skills.

• Comprehensive knowledge of CPT, ICD-10, and HCPCS coding.

• Familiarity with state and federal regulatory guidelines pertaining to proper coding practices.

• Must maintain current certification(s) and possess an up-to-date understanding of ICD-10 and CPT coding guidelines.

🏝️ Benefits

• Full-time employment.

• Day shift schedule.

• Remote work arrangement.