What are the responsibilities and job description for the Medical Billing and Coding Educator position at Willis Knighton Health?
Willis Knighton Physician Network is seeking a qualified and experienced Medical Billing and Coding Educator to join our team. This position will play a critical role in educating physicians, practitioners, and other healthcare professionals across our network to ensure accurate billing, coding, and documentation. The role requires an educator who can blend real-world experience with effective instructional strategies.
Key Responsibilities:
- Develop and deliver specialized educational programs on medical billing and coding, tailored to the needs of the Physician Network.
- Lead workshops or seminars on billing, coding, and reimbursement advancements.
- Provide comprehensive instruction of coding guidelines (ICD-10, CPT, HCPCS) and billing practices.
- Provide in-depth instruction on risk adjustment models, specifically CMS HCC, emphasizing documentation improvement to capture accurate diagnosis coding.
- Ensure training compliance with federal regulations, payer policies, and internal standards.
- Keep abreast of updates in coding practices, healthcare regulations, and industry standards and ensure timely communication of changes to stakeholders.
- Collaborate with clinical, compliance, and Physician Network teams to develop focused education strategies that align with organizational goals.
- Provide individual support and mentoring to employees needing additional assistance.
Qualifications:
- Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) is required; additional certifications are a plus.
- Minium of 5 years experience in medical billing and coding.
- Comprehensive knowledge of risk adjustment payment models, including Medicare Advantage, commerical plans risk adjustment, and value-based care initiatives.
- Previous teaching or training experience preferred but not required.
- Excellent communication, presentation, and organizational skills.
- Proficiency with billing software and medical coding practices.
- Strong understanding of healthcare compliance regulations.
- Advanced knowledge of CMS and managed care payer reimbursement methodologies and policies.
- Bachelor's Degree in Business/Healthcare preferred.