WakeMed

Not-for-profit health system with hospitals

Education Specialist - Provider Coding

Clinical Support & Patient AdministrationPosted on Nov 13

Full-timeNo salary listed

About the Job

Requirements

Five years of physician coding or auditing experience is required.
A Certified Professional Coder, Certified Coding Specialist-Physician, or Registered Health Information Technician credential is required.
A high school diploma or equivalent is required.

Responsibilities

Serve as the subject matter expert and resource for provider coding education, coding staff education, coding-related questions, and insurance denials.
Develop a work plan to conduct financial and other specified audits so appropriate education can be developed, prioritized, and delivered to providers and coders.
Analyze and trend data to identify opportunities related to documentation and coding.
Educate providers on correct documentation according to CMS guidelines to ensure appropriate organizational billing.
Stay current on coding updates and communicate changes to providers and coders in a timely manner.

Overview

Serves as the subject matter expert and resource for provider coding education, coding staff education, coding related questions, and insurance denials. Responsible for developing a work-plan to conduct financial and other specified audits so that appropriate education can be developed, prioritized, and delivered to providers and coders. Analyzes and trends data to identify areas of opportunity related to documentation and coding. Educates providers regarding correct documentation per CMS guidelines to ensure the organization is billing appropriately. Stays current on coding updates and communicates changes to providers and coders in a timely manner.

**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.
EOE

Licensure

Certified Professional Coder Or Certified Coding Specialist- Physician Or Registered Health Information Technician Required
Education

High School Diploma or Equivalent Required
Experience

5 Years Coding - Physician Or Auditing Required

About the Company

WakeMed

Not-for-profit health system with hospitals

WakeMed Health & Hospitals runs a private, not-for-profit health care system in Raleigh, North Carolina, with hospitals, outpatient centers, and home health services. It provides inpatient and outpatient medical care across facilities, supported by specialized units and care teams that coordinate from emergency care to rehabilitation and at-home services. The system stands out for its large, integrated network and nationally accredited Chest Pain and Stroke Centers, a high-volume heart program, and extensive women’s and children’s services and outpatient clinics. Its goal is to deliver high-quality, accessible health care for Wake County and beyond within a not-for-profit mission.

Company size: 5,001-10,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Raleigh, NC
Founded: 2010

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