Jobs in Whitby, Canada

Are you passionate about coding education, coding integrity, and revenue optimization? Do you thrive in a collaborative environment where your expertise directly impacts provider success, compliance, and patient care? If so, we’d love for you to join our expanding team!

The Provider Education team at OHSU is growing—and we’re on the lookout for dynamic, detail-oriented, and forward-thinking Provider Educators to help us lead the way.

As a Provider Educator, you’ll be part of a mission-driven team working at the intersection of clinical operations, compliance, and revenue cycle. You’ll empower providers and staff through targeted education, cutting-edge resources, and smart, strategic audits. Every day, you’ll play a key role in driving compliance, optimizing reimbursement, and reducing burnout through documentation and coding clarity.

Education and Training

• Facilitate comprehensive onboarding for new providers to ensure a strong foundation in billing, coding, and documentation requirements.
• Deliver timely updates to stakeholders (providers, coders, departments, RevCycle, leadership) on legislative, regulatory, coding, billing, and documentation changes.
• Identify training needs and collaborate on the development and delivery of educational programs and materials tailored to specific audiences.
• Maintain and expand the centralized Resource Library, ensuring easy access to accurate and up-to-date educational materials.
• Provide ongoing education, feedback, and support to enhance compliance and accuracy in documentation, coding, and billing.

Audits, Reviews, and Projects

• Conduct new provider audits and routine departmental audits for hospital-based (HB) and professional-based (PB) coding.
• Perform risk-based audits, including reviews of outliers, denial trends, and upcoding/downcoding patterns.
• Lead proactive audits (e.g., RAC, TPE, OIG, CBR) to identify and mitigate compliance risks.
• Conduct ad hoc audit and other review requests from coding teams, providers, departments, leadership, and RevCycle, providing actionable feedback and recommendations.
• Planned and special projects as assigned.
• Other ongoing work related to education, billing, coding, documentation, etc.

Advisory and Assistance

• Serve as a resource for resolving complex coding queries, disputes, and documentation challenges.
• Research and respond to inquiries from providers and coders, offering clear and actionable guidance.
• Develop and update policies, guidelines, and workflows for coding, documentation, and billing to ensure compliance and efficiency.

Advocacy and Collaboration

• Advocate for organizational priorities by collaborating with Government Relations, legislators, payers, and external stakeholders to align policies with OHSU’s mission and patient care goals.
• Actively participate in shaping CMS policies by submitting comment letters, engaging in rulemaking processes, and responding to Requests for Information.
• Centralize and unify education efforts to ensure consistency and clarity across all teams.

Content Development and Presentation

• Translate complex coding, billing, and regulatory information into user-friendly, accurate educational materials.
• Create and deliver presentations tailored to specific internal and external audiences, ensuring relevance and clarity, and addresses the needs of the stakeholders.

Regulatory and Policy Updates

• Monitor and analyze changes in industry regulations, payor policies, CPT codes, and compliance requirements.
• Develop and deliver education sessions to ensure stakeholders stay informed of evolving standards and regulations.

Projects and Process Improvement

• Execute various projects, from ad hoc to long-term, by developing problem statements, defining scope, and managing timelines and resources to ensure successful outcomes.
• Support colleagues with projects and engage in mentorship opportunities to build team knowledge and skills.
• Work on strategic initiatives, such as automation, denial prevention, and billing for underutilized services (e.g., care management, telehealth).

Mentorship and Team Development

• Provide mentorship and guidance to junior team members, supporting their professional development and knowledge growth.
• Foster a collaborative and supportive environment within the Provider Education team.

• Associates degree in Healthcare, Business or related field plus 5 years of production coding experience OR equivalent combination of education and experience
• Certification in CPC, CPC-H, RHIT, or RHIA

Job Related Knowledge, Skills and Abilities (Competencies):

• Detailed knowledge of medical coding systems, procedures, and documentation requirements
• Knowledge of auditing concepts and principles
• Strong knowledge of coding guidelines, regulations, and documentation requirements.
• High degree of coding accuracy and ability to retain and appropriately apply multiple complex coding concepts.
• Intermediate skills with Word, Excel, Outlook, and PowerPoint
• Excellent communication, presentation, and interpersonal skills
• Willingness to be on camera and appropriately attired for all online meetings.
• Proficiency in educational program development and delivery.
• Familiarity with healthcare compliance principles.
• Experience with electronic health records (EHR).
• Commitment to staying current with industry developments and continuous learning.

• Bachelor's degree in a related field, such as Health Information Management or Healthcare Administration, plus a minimum of 3 years of auditing and provider or coding education experience in multiple specialties, or 5 years of auditing and provider or coding education experience in multiple specialties in lieu of a degree.
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification or other similar coding or compliance certification.