Provider Coding Educator

Prisma Health

. Ensure all provider services are completely and accurately coded according to approved coding guidelines .

Posted 10/22/2026full-timeRemote • South Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CPT, ICD-10, and HCPCS coding, ensuring compliance with regulatory guidelines while providing education and support to providers and coding staff. Capable of conducting coding reviews and training sessions to enhance charge capture and coding accuracy.

Highest-signal resume keywords

CPT CodingICD-10 CodingHCPCS CodingCPC - Certified Professional CoderCoding Education

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding GuidelinesCharge CaptureData Entry SkillsBilling ProceduresCoding Reviews

Soft Skills

CommunicationTrainingCollaboration

Certifications & Qualifications

CPC - Certified Professional Coder

Industry Keywords

Regulatory GuidelinesCorporate ComplianceProfessional Billing Setting

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 proper CPT, ICD-10 and HCPCS coding
Perform random reviews of physician charges to identify opportunities for charge capture, ICD-10 specificity and proper coding
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 verify coding is supported by medical record documentation
Participate in workshops, seminars, webinars and other educational opportunities
Recommend changes to billing procedures for compliance with applicable laws, rules and regulations
Obtain and maintain instructor status for AAPC PMCC Coding Curriculum, if applicable
Coordinate class schedules and provide instruction for the AAPC PMCC Coding Curriculum, if applicable
Participate in Corporate Compliance meetings and schedule provider education sessions 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
Associate degree with 5 years of coding or coding/billing experience in a professional billing setting may substitute
High School Diploma with 7 years coding or coding/billing experience in a professional billing setting may substitute
Three (3) years billing and/or coding experience
CPC - CERT PROFESSIONAL CODER certification
Data entry skills
Knowledge of CPT, ICD-10 and HCPCS coding
Knowledge of state and federal regulatory guidelines related to proper coding
Must maintain current certification(s) and working knowledge of ICD-10 and CPT coding guidelines

Benefits

Comp & perks

Full-time employment
Day shift schedule
Remote work arrangement