Provider Coding Educator

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

📋 Description

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

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

• Provide training for providers and coding personnel on CPT, ICD-10, and HCPCS coding.

• Conduct random assessments of physician charges to pinpoint charge capture, ICD-10 specificity, and additional coding opportunities.

• Assess and address coding inquiries from physicians and coding staff.

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

• Observe providers and coding staff to ensure coding aligns with medical record documentation.

• Engage in workshops, seminars, webinars, meetings, and various educational initiatives.

• Keep current certifications and remain informed about coding guidelines.

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

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

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

• Attend Corporate Compliance meetings and arrange provider education based on audit results, if applicable.

• Participate in A/R meetings to enhance overall coding effectiveness.

• Carry out additional duties as assigned.

⛳️ Requirements

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

• Three (3) years of experience in billing and/or coding.

• Alternatively, an Associate degree with five years of coding or coding/billing experience in a professional billing environment.

• Alternatively, a High School Diploma with seven years of coding or coding/billing experience in a professional billing environment.

• Certified Professional Coder (CPC) certification.

• Proficient data entry skills.

• Familiarity with Prisma Health's mission and compliance standards.

• Working knowledge of ICD-10 and CPT coding guidelines.

• Understanding of state and federal regulatory guidelines pertaining to proper coding.

🏝️ Benefits

• Full-time employment.

• Day shift.