Provider Coding Educator, FT, Days, - Remote
Company: Prisma Health
Location: Greenville
Posted on: March 16, 2023
Job Description:
Inspire health. Serve with compassion. Be the difference.Job
SummaryTo ensure all provider services are completely and
accurately coded according to approved coding guidelines. Provides
coding support to the providers and staff by performing periodic
coding reviews, conducting various coding education and training
sessions.Accountabilities
- Educates providers and coding staff within the physician
practice setting on proper CPT, ICD-10 and HCPCS coding. Performs
random reviews of physician charges to identify opportunities for
charge capture, ICD-10 specificity and proper coding of all
services rendered.- 40%Reviews and responds to coding questions
submitted by physicians and coding staff within a timely manner. -
15%Communicates billing related issues to assigned
supervisor/manager. - 10%Shadows provider and coding staff to
confirm coding is supported by medical record documentation and
identify opportunities to improve upon documentation and coding. -
5%Participates in workshops, seminars, webinars, and other
educational opportunities to ensure continued learning. Maintain
current certification(s) and working knowledge if ICD-10 and CPT
coding guidelines. - 5%Recommends changes to billing procedures to
achieve compliance with applicable laws, rules and regulations. -
5%Obtains and maintains instructor status for AAPC PMCC Coding
Curriculum, if applicable. Coordinates class schedule and provides
instruction for the PMCC Coding Curriculum offered by the AAPC, if
applicable. - 5%Maintains knowledge if state and federal regulatory
guidelines related to proper coding. - 5%Participates in meetings
with Corporate Compliance in order to identify opportunities for
improvement. Schedules education sessions with providers to provide
education based on audit findings, if applicable. - 5%Participates
in A/R Meetings in order to improve overall coding when applicable.
- 5%Supervisory/Management Responsibilities
- This is a non-management job that will report to a supervisor,
manager, director or executive.Minimum Requirements
- Bachelor's Degree - Business or related field of study
- 3 years - Professional Billing Coding or combined
Coding/BillingRequired Certifications/Registrations/Licenses
- CPC - CERT PROFESSIONAL CODERIn Lieu of the Above Minimum
Requirements
- Associate's Degree with 5 years of coding or coding/billing
experience in a professional billing setting. High School Diploma
with 7 years coding or coding/billing experience in a professional
billing setting.Other Required Skills and Experience
- Data Entry - requiredWork ShiftDay (United States of
America)LocationIndependence PointeFacility7001
CorporateDepartment70019178 Medical Group Coding & Education
ServicesShare your talent with us! Our vision is simple: to
transform healthcare for the benefits of the communities we serve.
The transformation of healthcare requires talented individuals in
every role here at Prisma Health.
Keywords: Prisma Health, Greenville , Provider Coding Educator, FT, Days, - Remote, Other , Greenville, South Carolina
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