Coding Education & Compliance Specialist

Tenet Healthcare Corporation; Piedmont (SC); On-site; USD 85,000 - 110,000; Full time

Job summary

Tenet Healthcare is seeking a Coding Educator to ensure compliance with governmental and payer coding guidelines by providing ongoing education to staff, auditing documentation with quality tools, and serving as the main liaison for coding vendors to prevent claim denials.

The role focuses on continuous compliance through education and quality analysis, including monitoring billing clearance, addressing coding inquiries, and leading remediation plans as needed.

Qualifications

• 2–3 years coding, training, or auditing in a multi-specialty medical environment.
• Knowledge of government coding regulations and documentation for professional coding.
• AHIMA or AAPC credentials preferred.

Responsibilities

• Monitor billing clearance processes in compliance with TPR policy for new clinicians, APRNs, PAs, coders, and staff.
• Deliver continuous coding education to clinicians and staff to ensure adherence to policies and governmental regulations.
• Identify and mitigate organizational risk by validating that all billed services are accurately coded.
• Proactively research and disseminate updates on coding information, rules, laws, and statutes from payers and government entities to providers and staff.
• Monitor coding patterns, perform audits, and provide constructive feedback to clinicians and staff.
• Review and respond to all coding inquiries from clinicians and staff promptly.
• Analyze coding KPIs and monitor denials to develop strategic prevention plans with milestones.
• Act as the primary liaison between the organization and coding vendors in assigned markets.
• Establish and execute remediation plans for identified coding errors with regional director approval.
• Organize and participate in all scheduled coding team meetings

Skills

Coding experience

Training delivery

Auditing

Regulatory knowledge

Education

High School Diploma or equivalent

Post-secondary Anatomy and Physiology

Job description

Tenet Healthcare is seeking a Coding Educator to ensure compliance with governmental and payer coding guidelines by providing ongoing education to staff, auditing documentation with quality tools, and serving as the main liaison for coding vendors to prevent claim denials.

The role focuses on continuous compliance through education and quality analysis, including monitoring billing clearance, addressing coding inquiries, and leading remediation plans as needed.