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 reviews;
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.
Required Certifications & Experience:
Must be certified through the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC),
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
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.
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