Provider Coding Education Specialist
$63kThe University of Texas at Austin Staff
Provider Coding Education Specialist
The Provider Education and Audit Specialist plays a crucial role in ensuring accurate and compliant coding practices within the healthcare organization. This position is responsible for educating healthcare providers on coding guidelines and best practices, as well as conducting regular audits to assess coding accuracy and compliance with regulatory requirements. Reporting to The Clinical Revenue Cycle Manager, the Provider Education and Audit Specialist is instrumental in optimizing revenue capture, minimizing compliance risk, and enhancing provider performance through targeted education and data-driven insights.
Responsibilities
- Conducts provider audits
- Develops and delivers provider education
- Supports regulatory compliance
- Collaborates with revenue cycle and clinical teams
- Serves as a coding resource and analyzes trends
Required Qualifications
- Bachelor's degree in Healthcare Administration or a related field
- Certifications in one or more of the following:
- Certified Professional Coder Instructor (CPC-I) through AAPC
- Certified Professional Coder (CPC) through AAPC
- Certified Professional Medical Auditor (CPMA) through AAPC
- Certified Physician Practice Manager (CPPM) through AAPC
- Certified Documentation Expert Outpatient (CDEO) through AAPC
- Certified Professional Compliance Officer (CPCO) through AAPC
- Certified Coding Specialist (CCS) through AHIMA
- 3 years of relevant experience in medical coding, auditing, or coding education within a healthcare setting.
- Strong knowledge of ICD-10, CPT, HCPCS, and other coding systems and guidelines.
- Equivalent combination of education and experience may be considered.
Preferred Qualifications
- Master's degree in Health Informatics, Public Health or a related field.
- 5 years of relevant experience in medical coding, auditing, or coding education within a healthcare seeing, preferably in a large multi-specialty academic practice or an Ambulatory Surgical Center (ASC).
- Experience with MD Audit.
- Experience with Athena.
Salary Range
$63,000 + depending on qualifications
Working Conditions
- Standard office equipment
- Repetitive use of a keyboard
- May be exposed to such occupational hazards as communicable diseases, blood borne pathogens, ionizing and non-ionizing radiation, hazardous medications and disoriented or combative patients, or others.
Required Materials
- Resume/CV
- 3 work references with their contact information; at least one reference should be from a supervisor
- Letter of interest
$63k
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