Provider Coding Educator, FT, Days, - Remote

About Prisma Health

• Serve with compassion.
• 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.

Responsibilities

• Inspire health.
• Be the difference.
• 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.
• 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.

Requirements

• Education - 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.
• Certifications, Registrations, Licenses 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 Share your talent with us!