Coding Quality Educator - Physicians Billing
About the role
About Our Client: The organization operates within the healthcare industry, providing comprehensive medical services through a broad network that includes hospitals, specialty centers, and medical groups. It addresses challenges in healthcare access and quality by serving diverse rural and urban communities, focusing on patient-centered, whole-person care. The organization supports more than 120,000 caregivers across multiple states and maintains a commitment to improving health and wellbeing through direct care, education, and innovation.
About the Opportunity: The CODING QUALITY EDUCATOR - PHYSICIANS BILLING role is designed to enhance coding accuracy and clinical documentation through targeted education and audits. This position supports clinical and coding staff by delivering training, conducting reviews, and improving documentation processes. The role directly impacts the quality of billing practices and contributes to the financial integrity and compliance of the organization.
Responsibilities
- Assist with clinician and coder training and ongoing departmental education.
- Identify, develop, and deliver new and ongoing education related to coding and documentation improvement.
- Conduct independent and collaborative clinician and coder reviews/audits.
- Provide documentation to support coding review activities.
- Educate clinicians and coders based on audit findings.
Requirements
- National certification from recognized professional coding or health information associations upon hire.
- Minimum 5 years of experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVUs.
- Minimum 5 years of experience reviewing patient account information, insurance explanations of benefits, and financial records.
- Associate's degree preferred.
Benefits
- Comprehensive health care benefits including medical, dental, and vision insurance.
- Retirement 401(k) savings plan with employer matching.
- Disability insurance.
- Paid parental leave, vacation, and holidays.
- Voluntary benefits and well-being resources.