Coding Educator

About the role

This position is responsible and accountable for initial and ongoing education of providers and/or coding staff on key revenue cycle topics, including but not limited to coding, documentation, billing policies, and regulatory compliance in regard to facility (HB) and professional (PB) coding. As such, this position takes a significant role in developing the training and curricula necessary to ensure physicians and/or staff reach and maintain a desired level of coding and documentation proficiency across all care settings. This position is also responsible for ensuring the accuracy of information in these processes is maintained through the conducting and analysis of periodic audits—and, if accuracy is not at the expected level, this individual is responsible for the reeducation and training of physicians and/or staff to ensure these departments are meeting their targets. Additionally, this position is responsible for serving as a figurehead of knowledge as it relates to all coding systems in use (ICD-10-CM & PCS, CPT HCPCS); CMS, federal, and state coding regulations; and third-party reimbursement requirements. Incumbent is responsible for conducting and coordinating audits of provider's professional documentation to ensure that correct services are being billed and provide education and consistent feedback to the provider's using identified communication tools. The major challenge of this position is coordinating and managing the provider's auditing and education schedules to ensure compliance of assigned codes, charges, and quality documentation. Incumbent is responsible for reviewing coded encounters and related documentation to