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Senior Coding Educator

Insight Global

Required Skills & Experience

Must Haves \nEducation: Bachelor’s degree in Health Information Management, Healthcare Administration, Nursing, or a related field required. Equivalent relevant work experience may be considered in lieu of a degree.\nCertification: RHIA, RHIT, CCS-P, CCS, or CPC certification required.\nExperience: 3–5 years of related experience in physician and hospital outpatient billing, reimbursement, physician auditing, chart review, coding compliance, medical office operations, or patient accounts- Pro fee (professional fee coding)\nPowerPoint experience, creating decks and Presenting/educating codes to Physicians

Nice to Have Skills & Experience

Preferred: \nCPMA preferred.\nExperience working with senior physician leadership

Job Description

Day to Day\n80% remote, 20% onsite traveling to physical locations\nThis team supports 2500 physicians in coding education, ranging in multispecialty on the provider side of things\nPrimarily sits remote, educating physicians on coding virtually, over the phone, or in person based on physician request. \nReviews medical records and physician documentation to ensure accurate professional-fee coding, billing, and reimbursement.\nAssigns and validates ICD-10, CPT, HCPCS, and E&M codes according to payer guidelines, Medicare requirements, and specialty-specific coding rules.\nConducts physician and departmental coding audits, identifying documentation gaps, compliance risks, workflow issues, and reimbursement opportunities.\nProvides coding education and guidance to physicians, practice managers, and clinical staff, including training, tip sheets, coding tools, and documentation best practices.\nPartners with Billing, Denials, Finance, Operations, and Compliance to resolve coding disputes, analyze trends, improve reimbursement, and ensure adherence to CMS/OIG requirements.
Vacancy posted 3 hours ago
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