Coding Educator

Tenet Healthcare; Piedmont (SC); Presencial; USD 85 000 - 110 000; Tempo integral

Resumo da oferta

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.

Qualificações

• 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.

Responsabilidades

• 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

Conhecimentos

Coding experience

Training delivery

Auditing

Regulatory knowledge

Formação académica

High School Diploma or equivalent

Post-secondary Anatomy and Physiology

Descrição da oferta de emprego

The Coding Educator ensures the TPR organization meets all governmental and payer coding guidelines by providing continuous education to staff, auditing documentation using specific quality tools, and serving as the primary liaison for coding vendors to prevent claim denials. The role is focused on continuous compliance through education and quality analysis.

• Monitor billing clearance processes in compliance with TPR policy for new clinicians, advanced practice providers (APRNs, PAs), coders, and ancillary staff performing coding functions.
• Deliver continuous coding education to clinicians and ancillary staff to ensure adherence to all TPR coding policies, payer guidelines, and governmental regulations.
• Identify and mitigate organizational risk by validating that all billed services are accurately coded.
• Proactively research and disseminate updates regarding new coding information, rules, laws, and statutes from all payers and government entities to providers and relevant staff.
• Monitor coding patterns, perform audits, and provide constructive feedback to clinicians and staff members.
• Review and promptly respond to all coding inquiries from clinicians and ancillary staff.
• Analyze coding KPIs and monitor denials to develop and implement strategic prevention plans with defined benchmarks and milestones.
• Act as the primary liaison between the organization and coding vendors, leading all interactions within assigned markets.
• Establish and execute a recovery/remediation plan for identified coding errors, with the approval of the regional coding director.
• Organize and actively participate in all scheduled coding team meetings

Education

• Required: High School Diploma or equivalent
• Preferred: Post-secondary Anatomy and Physiology

Experience

• Required: 2-3 years' coding, training, or auditing experience in a multi-specialty medical environment.
• Knowledge of government regulations for coding and documentation for professional coding

Certifications

• Preferred: AHIMA or AAPC coding credentialed, CPC or CCS minimally

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