Provider Coding Educator

Job not on LinkedIn

🔥 13 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Prisma Health

WebsiteLinkedInAll Job Openings

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.

📋 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 CPT, ICD-10, and HCPCS coding • Perform random reviews of physician charges to identify charge capture, ICD-10 specificity, and coding opportunities • 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 confirm coding is supported by medical record documentation • Participate in workshops, seminars, webinars, meetings, and other educational opportunities • Maintain current certifications and knowledge of coding guidelines • Recommend billing procedure changes to support compliance with applicable laws, rules, and regulations • Obtain and maintain instructor status for the AAPC PMCC Coding Curriculum, if applicable • Coordinate class schedules and provide PMCC Coding Curriculum instruction, if applicable • Participate in Corporate Compliance meetings and schedule provider education 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 • Three (3) years billing and/or coding experience • Alternatively, Associate degree with 5 years of coding or coding/billing experience in a professional billing setting • Alternatively, High School Diploma with 7 years coding or coding/billing experience in a professional billing setting • CPC - CERT PROFESSIONAL CODER certification • Data entry skills • Knowledge of Prisma Health's purpose and compliance expectations • Working knowledge of ICD-10 and CPT coding guidelines • Knowledge of state and federal regulatory guidelines related to proper coding

🏖️ Benefits

• Full-time employment • Day shift