Education Specialist, Provider Coding

WakeMed Health & Hospitals; Raleigh (NC); On-site; USD 60,000 - 80,000; Full time

Job summary

Direct Jobs in Raleigh, North Carolina seeks a subject matter expert in provider coding education. The role involves developing work-plans for audits, analyzing coding trends, and educating providers on compliance with CMS guidelines.

Candidates should have a High School Diploma or equivalent, along with certifications in coding. A minimum of 5 years of experience in coding or auditing is required.

Qualifications

• Certified Professional Coder or Certified Coding Specialist- Physician or Registered Health Information Technician Required.
• 5 Years Coding - Physician or Auditing Required.

Responsibilities

• Develops work‑plans for financial audits and coding education.
• Analyzes documentation and coding trends for opportunities.
• Educates providers on correct documentation per CMS guidelines.

Education

High School Diploma or Equivalent

Tools

Certified Professional Coder or Certified Coding Specialist- Physician or Registered Health Information Technician

Job description

Overview

Serves as the subject matter expert and resource for provider coding education, coding staff education, coding related questions, and insurance denials. Responsible for developing a work‑plan to conduct financial and other specified audits so that appropriate education can be developed, prioritized, and delivered to providers and coders. Analyzes and trends data to identify areas of opportunity related to documentation and coding. Educates providers regarding correct documentation per CMS guidelines to ensure the organization is billing appropriately. Stays current on coding updates and communicates changes to providers and coders in a timely manner.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well‑being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE

Licensure

Certified Professional Coder or Certified Coding Specialist- Physician or Registered Health Information Technician Required

Education

High School Diploma or Equivalent Required

Experience

5 Years Coding - Physician or Auditing Required