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Provider Coding Educator
Prisma Health. Ensure all provider services are completely and accurately coded according to approved coding guidelines .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding accuracy and compliance, with a strong focus on CPT, ICD-10, and HCPCS coding guidelines. Capable of providing education and training to providers and coding staff while maintaining current certifications and knowledge of regulatory standards.
Highest-signal resume keywords
CPC - CERT PROFESSIONAL CODER CertificationICD-10 Coding GuidelinesCPT Coding GuidelinesBilling Procedure ComplianceCoding Education and Training
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding AccuracyCharge CaptureData Entry SkillsCoding ReviewsCoding SupportCoding DocumentationCoding OpportunitiesRegulatory ComplianceMedical Record DocumentationCoding Audits
Soft Skills
Communication SkillsInterpersonal SkillsOrganizational SkillsEducational FacilitationProblem-Solving Skills
Certifications & Qualifications
CPC - CERT PROFESSIONAL CODER Certification
Industry Keywords
Billing GuidelinesCPT CodingICD-10 CodingHCPCS CodingCorporate ComplianceProfessional Billing SettingState and Federal Regulatory GuidelinesPrisma Health ComplianceCoding Curriculum InstructionProvider Education
About the role
Key responsibilities & impact- Ensure all provider services are completely and accurately coded according to approved coding guidelines
- Provide coding support to providers and staff through periodic coding reviews and coding education and training sessions
- Educate providers and coding staff on CPT, ICD-10, and HCPCS coding
- Perform random reviews of physician charges to identify charge capture, ICD-10 specificity, and coding opportunities
- Review and respond to coding questions from physicians and coding staff
- Communicate billing-related issues to the assigned supervisor or manager
- Shadow providers and coding staff to confirm coding is supported by medical record documentation
- Participate in workshops, seminars, webinars, meetings, and other educational opportunities
- Maintain current certifications and knowledge of coding guidelines
- Recommend billing procedure changes to support compliance with applicable laws, rules, and regulations
- Obtain and maintain instructor status for the AAPC PMCC Coding Curriculum, if applicable
- Coordinate class schedules and provide PMCC Coding Curriculum instruction, if applicable
- Participate in Corporate Compliance meetings and schedule provider education based on audit findings, if applicable
- Participate in A/R meetings to improve overall coding
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's degree in Business or related field of study
- Three (3) years billing and/or coding experience
- Alternatively, Associate degree with 5 years of coding or coding/billing experience in a professional billing setting
- Alternatively, High School Diploma with 7 years coding or coding/billing experience in a professional billing setting
- CPC - CERT PROFESSIONAL CODER certification
- Data entry skills
- Knowledge of Prisma Health's purpose and compliance expectations
- Working knowledge of ICD-10 and CPT coding guidelines
- Knowledge of state and federal regulatory guidelines related to proper coding
Benefits
Comp & perks- Full-time employment
- Day shift