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Provider Coding Educator

Prof Fee Coding

Full Time

Day Shift

4210

Bachelor's Degree Required
3 years of experience required

Palmetto Health-USC Medical Group Values: All team members are expected to be knowledgeable and compliant with Palmetto Health's values of integrity, compassion, excellence, dignity and teamwork.

 

Job Summary

To 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.

 

Essential Duties and Responsibilities

Incumbents may be required to perform other job related tasks other than those specifically presented in this job description. The following is not an exhaustive list of responsibilities.  This list of essential duties and responsibilities is intended to provide a representative summary of the major duties and responsibilities performed:

 

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.

Reviews and responds to coding questions submitted by physicians and coding staff within a timely manner.

Communicates billing related issues to assigned supervisor/manager

Shadows provider and coding staff to confirm coding is supported by medical record documentation and identify opportunities to improve upon documentation and coding

Participates in workshops, seminars, webinars, and othe educational opportunities to ensure continued learning. Maintain current certification(s) and working knowledge if ICD-10 and CPT coding guidelines

Recommends changes to billing procedures to achieve compliance with applicable laws, rules and regulations

Obtains and maintains instructor status for AAPC PMCC Coding Curriculum, if applicable. Coordinates class schedule and provides instruction for the PMCC Coding Curriculumofferd by the AAPC, if applicable

Maintains knowledge if state and federal regulatory guidelines related to proper coding.

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.

Particpates in A/R Meetings in order to improve overall coding when applicable.

 

Supervisiory/Management Responsibilites: This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Job Requirements: Bachelor's degree in Business or related field of study and 3 years experience in professional billing coding or combined coding/billing; 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. 

Required Certifications, Registrations, Licenses: CPC

Knowledge, Skills, or Abilities: Data entry

Required Competencies: Basic computer skills, knowledge of office quipment (fax/copier), proficient computer skills (word processing, spreadsheets, and database),  data entry, and mathematical skills.