Coding Educator

Tenet Healthcare; Piedmont (AL); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical, dental, vision, and life保险

401(k) retirement savings plan with-em

Generous paid time off

Career development and continuing教育机会

Health savings accounts, healthcare &‑

Employee Assistance program

Employee discounts

Job summary

Tenet Physician Resources is seeking a Coding Educator to ensure compliance with government and payer coding guidelines through ongoing staff education and documentation audits. You will serve as the main liaison to coding vendors to minimize claim denials and drive quality improvements across the organization.

The role emphasizes continuous education, risk mitigation through accurate coding, and timely response to coding inquiries, with duties spanning KPI analysis, audits, and collaboration

Qualifications

• 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.
• AHIMA or AAPC coding credential preferred; CPC or CCS minimally.

Responsibilities

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

Skills

Coding education

Auditing

KPI analysis

Regulatory compliance

Staff training

Vendor liaison

Education

High School Diploma or equivalent

Post-secondary Anatomy and Physiology

Job description

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
#LI-RF1

Fuel your passion for patient-centered care and elevate your medical career in our thriving physician office. Join our collaborative team, where every day brings new opportunities to make a meaningful impact on the well-being of our community.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status