Surgical Coding Educator, CPC
Remote, USA, United States
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 …
This job isn't fresh anymore!
Search Fresh JobsJob Profile
Must comply with HIPAA Must comply with HIPAA rules and regulations
Benefits/PerksAnnual bonus Collaborative environment Confidential Confidential according to EEO guidelines Expense reimbursement Remote work Travel opportunities
Tasks- Coding
- Comply with HIPAA rules
- Conduct education
- Coordinate with teams
- Documentation
- Manage escalations
- Research coding questions
- Serve as coding resource
Auditing Billing Cloud-based technology Coding Guidelines Communication Compliance Documentation EMR HIPAA HIPAA Rules HIPAA rules and regulations Interpersonal Medicaid Medical Coding Medicare Multitasking Problem-solving Provider education Relationship building Surgical Coding Technology-driven
Experience5 years
Education Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9