Coding Educator

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

Job summary

Tenet Physician Resources, part of Tenet Healthcare, seeks a Coding Educator to ensure compliance with government and payer coding guidelines through staff education and quality auditing. The role acts as the primary liaison with coding vendors to prevent claim denials and improve documentation quality.

The position focuses on ongoing education, policy adherence, and performance monitoring to maintain high coding accuracy across the organization.

Qualifications

• Required: High School Diploma or equivalent.
• Preferred: Post-secondary Anatomy and Physiology.
• 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.
• Preferred: AHIMA or AAPC coding credentialed, CPC or CCS minimally.

Responsibilities

• Monitor billing clearance processes 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 and payer guidelines.
• Identify and mitigate risk by validating that all billed services are accurately coded.
• Research and disseminate updates on 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 respond to coding inquiries from clinicians and staff.
• Analyze coding KPIs and monitor denials to develop prevention plans with milestones.
• Act as liaison between the organization and coding vendors in assigned markets.
• Establish and execute remediation plans for coding errors with regional approval.
• Organize and participate in scheduled coding team meetings.

Education

High School Diploma or equivalent

Post-secondary Anatomy and Physiology

Job description

Overview

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

Job Summary

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.

Responsibilities

• 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

Qualifications

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

Organization Description

Piedmont Physician Network, in partnership with PMC Physician Network, believes a patient relationship is a partnership that spans a lifetime and that two-way communication is the key to good health. Building on decades of successful care, our team provides patient-centered care that collaborates and empowers patients by educating and involving them in each stage of treatment. Our distinguished network of providers is committed to providing our patients with outstanding care and service at every encounter. Skilled physicians and a caring, compassionate staff focus on ensuring that every patient has a positive and hassle-free experience with personalized attention

Employment Practices

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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