GENERAL SUMMARY: Directly coordinates, oversees, and controls the flow of provider education and medical record coded information required of the hospital and ambulatory sites for billing, reimbursement, and compliance purposes. The Provider Education Coordinator serves as a subject matter expert for documentation and coding and utilizes expertise to analyze revenue cycle metrics to identify documentation trends for outlier providers and facilitates education work plans to improve the quality, completeness, timeliness, and accuracy of medical record documentation for professional and hospital services. Serves as an educational resource and subject matter expert to providers and/or coding staff related to coding and documentation including, but not limited to local, State and Federal coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories (HCC), and standards of compliance.
EDUCATION/EXPERIENCE REQUIRED:

• High School Diploma or G.E.D. equivalent required.
• Associates Degree in Healthcare related field, Medical Record Sciences, or Business/Healthcare Administration or four (4) years coding experience may be considered in lieu of education requirement.
• Minimum of three (3) years of experience related to documentation improvement, coding, CDI, compliance, and/or billing for hospital/physician services required.
• Additional specialty coding certification or five to seven (5-7) years coding experience required.
• Prior experience in a healthcare revenue cycle position required.
• Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. High level of proficiency in Microsoft Office and/or Microsoft Access applications.
• Data analytics experience preferred.

CERTIFICATIONS/LICENSURES REQUIRED:

• At least one of the following certifications is required: CPC, CCS, CCS-P, RHIT or RHIA.