Coding Educator - Remote

Baptist Health System Group; Northborough (MA); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) retirement with employer match

Generous paid time off

Career development opportunities

Health savings accounts (HSA/FSA)

Employee Assistance program

Pet insurance (voluntary)

Job summary

Tenet Physician Resources seeks a Coding Educator to ensure adherence to coding guidelines across clinicians and staff. You will educate, audit, and liaise with coding vendors to minimize denials and improve accuracy.

The role focuses on continuous compliance through education and quality analysis within a patient‑centered care framework at Tenet. Strong knowledge of payer rules and government regulations is required.

Qualifications

• Required: 2-3 years’ coding, training, or auditing in a multi-specialty medical environment.
• Knowledge of government regulations for coding and documentation for professional coding.
• Preferred: AHIMA or AAPC credentialed, CPC or CCS minimally.

Responsibilities

• Monitor coding education for clinicians and staff to ensure adherence to policies and payer guidelines.
• Deliver ongoing coding education to staff; audit documentation to prevent denials.
• Validate that billed services are accurately coded to mitigate organizational risk.
• Research and disseminate updates on new coding rules and regulations from payers and government entities.
• Lead coding vendor interactions and coordinate recovery/remediation plans for coding errors.

Skills

Coding education

Staff training

Auditing

Regulatory knowledge

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

Saint Vincent Medical Group, within Saint Vincent Physician Services, strives to provide patient-centered healthcare and invite our patients and their families to be a part of the care team as shared members in the decision-making and treatment process. Skilled physicians and a caring, compassionate staff focus on helping each patient have a positive and hassle-free experience with personalized attention. Our modern, comfortable facilities are equipped with advanced diagnostic and treatment technologies and are conveniently located.

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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