Provider Coding Educator, FT, Days, - Remote

Inspire health. Serve with compassion. Be the difference.

Job Summary

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose:  Inspire health.  Serve with compassion.  Be the difference.

• 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. Maintain current certification(s) and working knowledge if 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 if state and federal regulatory guidelines related to proper coding.

• Participates in meetings with Corporate Compliance in order to identify opportunities for improvement.  Schedules education sessions with providers to provide education based on audit findings, if applicable.

• Participates in A/R Meetings in order to improve overall coding when applicable.

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - Bachelor's degree in Business or related field of study

• Experience - 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.

Required Certifications, Registrations, Licenses

• CPC - CERT PROFESSIONAL CODER
   

Knowledge, Skills and Abilities

• Data entry skills

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.