Provider Educator

Mahec • Asheville, NC

6d • $28 • Onsite

About The Position

This role is responsible for training and mentoring our healthcare providers – physicians, residents, APPs, PharmD, therapists and others to improve clinical documentation, coding, quality of care and compliance. The Provider Educator is responsible for developing educational materials, presenting materials in meetings or directly to providers, and supporting all aspects of provider education. They will work directly with providers after mandatory audits and ensure adherence to documentation and coding standards. This position works with our Provider Auditor as part of our Audit and Education team.

Requirements

• High School Graduate or equivalent
• National certification from the American Health Information Management Association (AHIMA) as a Certified Coding Specialist (CCS) or certification through the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC)
• Past Coding experience in OP or IP setting
• Excellent skills in Microsoft Office including Word, Excel, PowerPoint, and database applications required.
• Ability to perform duties with speed and accuracy
• Ability to think strategically
• Ability to work independently and to initiate and complete tasks with minimal supervision required
• Must be a team player
• Must demonstrate discretion in dealing with medical, fiscal and personnel information as is appropriate to position.
• Requires the ability to appropriately and professionally handle multiple and competing priorities

Nice To Haves

• Strong education/training background in coding and reimbursement
• Veridigm (Allscripts) PM experience
• Endcoder experience

Responsibilities

• Works directly with our providers to review their individual audits, provide education and feedback
• Collaborates with our auditor to review audits, set up audit schedule and give feedback
• Conducts education/training and presents final audit findings to department staff, physicians and appropriate individuals
• Is stationed in our clinical settings to provide one-on-one coding assistance after providers see patient
• With technical direction and assistance from management, along with our auditor, designs and implements coder education program, continuing education programs and Medical Staff education programs
• Establishes and monitors performance and maintains appropriate documentation thereof
• Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements
• Provides written guidance back to providers
• Performs duties as assigned training/mentoring of new staff, performing audits and research related to special projects
• Depending on location, provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to clinical data quality management factors
• Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, according to regulatory requirements
• Reports findings both verbally and in writing and communicates results to leadership
• Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines
• Promotes cooperation with compliance programs to improve documentation which supports compliant coding
• Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines
• Participates with management in the assessment of external audit findings and responds as needed
• Attends meetings and interacts with management to resolve issues and provide advice on new programs
• Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance regulatory requirements
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines
• Assures compliance with the coding guidelines and regulatory requirements
• Other duties as assigned

Benefits

• full benefits available
• MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED