Coding Educator: Compliance & Education Lead

Tenet Healthcare Corporation; Rock Hill (SC); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, vision, and life insu

401(k) retirement savings plan withem

Generous paid time off

Career development and continuing edu

Health savings accounts, healthcare &

Employee Assistance program, Employee

Pet insurance, legal insurance,事故 and

long term care, elder & childcare, aut

Job summary

The Coding Educator at Tenet Physician Resources ensures adherence to governmental and payer coding guidelines by delivering ongoing education to staff, auditing documentation with quality tools, and serving as the primary liaison for coding vendors to prevent claim denials.

This role focuses on continuous compliance through education, quality analysis, and collaboration with clinicians, coders, and payers to improve accuracy and reduce denials 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.
• Preferred: AHIMA or AAPC coding credentialed, CPC or CCS minimally

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

Education

High School Diploma or equivalent

Post-secondary Anatomy and Physiology

Job description

The Coding Educator at Tenet Physician Resources ensures adherence to governmental and payer coding guidelines by delivering ongoing education to staff, auditing documentation with quality tools, and serving as the primary liaison for coding vendors to prevent claim denials.

This role focuses on continuous compliance through education, quality analysis, and collaboration with clinicians, coders, and payers to improve accuracy and reduce denials across the organization.