What are the responsibilities and job description for the Coding Educator - Remote position at Saint Vincent Physician Services, Inc?
Overview
Embark on a rewarding career with Tenet Physician Resources. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.
At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
Job Summary
The Coding Educator ensures the TPR organization meets all governmental and payer coding guidelines by providing continuous education to staff, auditing documentation using specific quality tools, and serving as the primary liaison for coding vendors to prevent claim denials. The role is focused on continuous compliance through education and quality analysis.
Responsibilities
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Monitor billing clearance processes in compliance with TPR policy for new clinicians, advanced practice providers (APRNs, PAs), coders, and ancillary staff performing coding functions.
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Deliver continuous coding education to clinicians and ancillary staff to ensure adherence to all TPR coding policies, payer guidelines, and governmental regulations.
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Identify and mitigate organizational risk by validating that all billed services are accurately coded.
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Proactively research and disseminate updates regarding new coding information, rules, laws, and statutes from all payers and government entities to providers and relevant staff.
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Monitor coding patterns, perform audits, and provide constructive feedback to clinicians and staff members.
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Review and promptly respond to all coding inquiries from clinicians and ancillary staff.
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Analyze coding KPIs and monitor denials to develop and implement strategic prevention plans with defined benchmarks and milestones.
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Act as the primary liaison between the organization and coding vendors, leading all interactions within assigned markets.
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Establish and execute a recovery/remediation plan for identified coding errors, with the approval of the regional coding director.
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Organize and actively participate in all scheduled coding team meetings
Qualifications
Education
Required: High School Diploma or equivalent
Preferred: Post-secondary Anatomy and Physiology
Experience
Required: 2-3 years coding, training, or auditing experience in a multi-specialty medical environment.
Knowledge of government regulations for coding and documentation for professional coding
Certifications
Preferred: AHIMA or AAPC coding credentialed, CPC or CCS minimally
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Organization Description
Saint Vincent Medical Group, within Saint Vincent Physician Services, strives to provide patient-centered healthcare and invite our patients and their families to be a part of the care team as shared members in the decision-making and treatment process. Skilled physicians and a caring, compassionate staff focus on helping each patient have a positive and hassle-free experience with personalized attention. Our modern, comfortable facilities are equipped with advanced diagnostic and treatment technologies and are conveniently located.
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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