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Provider Coding Educator

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🔥 1 minute ago

🌴 South Carolina – Remote

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⏰ Full Time

🟡 Mid-level

đźź  Senior

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Prisma Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

đź“‹ Description

• Ensure all provider services are completely and accurately coded according to approved coding guidelines • Provide coding support to providers and staff through periodic coding reviews and coding education and training sessions • Educate providers and coding staff on proper CPT, ICD-10 and HCPCS coding • Perform random reviews of physician charges to identify opportunities for charge capture, ICD-10 specificity and proper coding • Review and respond to coding questions from physicians and coding staff • Communicate billing-related issues to the assigned supervisor or manager • Shadow providers and coding staff to verify coding is supported by medical record documentation • Participate in workshops, seminars, webinars and other educational opportunities • Recommend changes to billing procedures for compliance with applicable laws, rules and regulations • Obtain and maintain instructor status for AAPC PMCC Coding Curriculum, if applicable • Coordinate class schedules and provide instruction for the AAPC PMCC Coding Curriculum, if applicable • Participate in Corporate Compliance meetings and schedule provider education sessions based on audit findings, if applicable • Participate in A/R meetings to improve overall coding • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree in Business or related field of study • Associate degree with 5 years of coding or coding/billing experience in a professional billing setting may substitute • High School Diploma with 7 years coding or coding/billing experience in a professional billing setting may substitute • Three (3) years billing and/or coding experience • CPC - CERT PROFESSIONAL CODER certification • Data entry skills • Knowledge of CPT, ICD-10 and HCPCS coding • Knowledge of state and federal regulatory guidelines related to proper coding • Must maintain current certification(s) and working knowledge of ICD-10 and CPT coding guidelines

🏖️ Benefits

• Full-time employment • Day shift schedule • Remote work arrangement

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