Surgical Coding Educator, CPC

Company Description

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

Job Description

The Coding Educator will be accountable for provider satisfaction related to CODER+ services provided by Privia Health. The Educator will serve as an integral member of the CODER+ program team, responsible for partnering with providers and staff to ensure smooth delivery of CODER+ surgical services and to maintain provider satisfaction. This person will collaborate with the Providers, CODER+ Program Manager and Clinic Managers as needed to resolve any CODER+ issues that may arise. The ideal candidate will draw on existing expertise in surgical specialty medical coding, provider education, billing and compliance with government and commercial payers and act as a coding resource for Providers to reach out to. The ideal candidate is a self-starter, comfortable with managing multiple priorities, and a creative problem solver.

This role requires 20% travel

Primary Job Duties:

• Serve as a surgical coding resource for providers and clinic staff when they have questions.
• Proactively reach out to providers and develop positive working relationships to ensure their coding needs are met.
• Conduct provider and clinic staff documentation education as needed.
• Research and answer coding and coding workflow related questions for providers and clinic staff.
• Possess a working knowledge of the EMR and Billing Platform and assist providers and staff as needed.
• Coordinate with internal Privia teams including CODER+, Compliance, and Risk Adjustment to answer questions.
• Collaborate with providers
• Manage all escalations through resolution.
• Follow coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.

Qualifications

• 5+ years of provider medical coding experience across medical and surgical specialties
• 3+ years of provider auditing experience across medical and surgical specialties
• AAPC Certified Professional Coder (CPC) certification required
• AAPC Certified Professional Medical Auditor (CPMA) certification preferred
• Experience working in a physician practice setting strongly preferred 
• Ability to work effectively with physicians, advanced practice providers (APP), practice staff, health plan/other external parties and Privia multidisciplinary team
• Ability to travel to multiple locations nationwide …