3 days old

Coding Educator- CPC

St. Francis Hospital
  Worcester, MA
  • Job Code
Coding Educator- CPC Description at Tenet Healthcare

Job Details

Coding Educator- CPC

  • Job ID 1805002430
  • Date posted 01/23/2018
  • Facility Staff St Vincent Phy Svs
St. Vincent Physician Services in Worcester, MA is seeking a full time Coding Educator who holds a certification with the American Academy of Professional Coders (AAPC).

General Summary
Under general supervision of Regional Coding Educator, assist with development and execution of coding education programs for his/her individual 
market to ensure coding compliance throughout the local market.

Serve as ICD-10 Subject Matter Expert (SME) providing on-going ICD-10 training in his/her individual market (other markets as needed) and be available 
to answer questions and provide guidance for physicians, providers and staff;
Assist Regional Coding Educator develop and conduct classroom, webex and/or on-the-job training for new and existing coders and providers with basic, 
specialty specific and HCC risk adjusted educational offerings for his/her individual market;
Assist Regional Coding Educator administer knowledge checks to ensure market coding staff are appropriately trained and have coding skill sets necessary to be successful within TPR and to be compliant with applicable compliance regulations;
Collaborate with Coding Manager, if applicable, to run quarterly E&M code utilization reports to monitor provider coding patterns and conduct spot checks 
of documentation for providers whose E&M patterns deviate from the norm;
Assist Market , Regional or National Coding Operations Manager to perform annual provider E&M documentation reviews of 5 encounters for all providers in the markets to ensure accurate selection of evaluation and management and procedure codes to be in compliance with Medicare, Medicaid and other payer 
requirements, as needed;
Develop provider education, as needed, based upon these reviews;
Assist in monitoring .edu and E&M University course completion, as needed;
Assist with individual market pre-bill clearance reviews, as needed;
Assist Regional Coding Educator to develop market specific coding education for providers and coders resulting from results of pre-bill clearance 
Assist individual market coding staff with day-to-day coding duties, as needed,  including but not limited reviewing provider documentation to ensure 
assignment and sequencing of procedural and diagnostic coding to ensure accurate and timely submission of claims;
Assist market coding staff with coding tasks, as needed, to ensure timely processing of payer denials and adherence to RCM KPI metrics;
Ensure compliance with Federal and State regulations; and
Participate and complete special projects and other duties as assigned.

Expert working knowledge of CPT-4, ICD9, ICD-10-CM and HCPCS codes;
Strong understanding of coding and documentation issues facing the healthcare industry;
Knowledge of and ability to billing compliance program rules, regulations, policies and procedures;
Ability to communicate coding concepts to medical staff and management;
Obtain necessary CEU’s to maintain coding credentials and stay abreast of coding changes within the industry;
Good computer skills using a medical management system as well as proficiency with Microsoft applications;
Adhere to the “Coders Code of Conduct” ;
Maintain a strong work ethic and a high level  of professionalism; and
Ability to work independently.

Must have a high school diploma or equivalent.  
Associate’s degree in related field preferred
Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology highly desirable.

Required certifications:
Must be certified through the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Preferred
Must be certified through the American Health Information Management Association (AHIMA) as a Certified Coding Specialist Physician Based (CCS-P)

5+ years of coding experience 

Job:  Medical Coding
Primary Location:  Worcester, Massachusetts
Facility:  Staff St Vincent Phy Svs
Job Type:  Full-time
Shift Type:  Days

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.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify


  • Healthcare
  • Information Technology
  • Education

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Coding Educator- CPC

St. Francis Hospital
  Worcester, MA

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St. Francis Hospital
  Worcester, MA

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