Education Specialist, Provider Coding *remote*

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

Job summary

A leading healthcare provider in North Carolina seeks a coding expert to enhance provider education and ensure compliance with CMS guidelines. The role involves developing audits, analyzing data, and staying updated on coding changes to improve documentation accuracy. Join a dedicated team committed to exceptional patient care.

Qualifications

• Minimum of 5 years coding experience, including physician coding and/or auditing.
• Certified Professional Coder or Certified Coding Specialist required.

Responsibilities

• Serves as the subject matter expert for provider coding education.
• Develops work-plan for financial audits to ensure proper education.
• Educates providers regarding correct documentation per CMS guidelines.

Skills

Coding Education

Data Analysis

Documentation

Education

High School Diploma

Associate's Degree in Business Administration

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 to ensure appropriate education is 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 proper billing. Stays current on coding updates and communicates changes to providers and coders in a timely manner.

Eligible Remote States

NC, FL, GA, SC, SD, TN, TX, and VA

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. Associate's Degree in Business Administration, Nursing, Healthcare, or a related field preferred.

Experience

Minimum of 5 years coding experience, including physician coding and/or auditing.