Coding Educator

The Coding Educator ensures the TPR organization meets all governmental and payer coding guidelines by providing continuous education to staff, auditing documentation using specific quality tools, and serving as the primary liaison for coding vendors to prevent claim denials. The role is focused on continuous compliance through education and quality analysis. 

 

• Monitor billing clearance processes in compliance with TPR policy for new clinicians, advanced practice providers (APRNs, PAs), coders, and ancillary staff performing coding functions.  

• Deliver continuous coding education to clinicians and ancillary staff to ensure adherence to all TPR coding policies, payer guidelines, and governmental regulations.  

• Identify and mitigate organizational risk by validating that all billed services are accurately coded.  

• Proactively research and disseminate updates regarding new coding information, rules, laws, and statutes from all payers and government entities to providers and relevant staff.  

• Monitor coding patterns, perform audits, and provide constructive feedback to clinicians and staff members.  

• Review and promptly respond to all coding inquiries from clinicians and ancillary staff.  

• Analyze coding KPIs and monitor denials to develop and implement strategic prevention plans with defined benchmarks and milestones.  

• Act as the primary liaison between the organization and coding vendors, leading all interactions within assigned markets.  

• Establish and execute a recovery/remediation plan for identified coding errors, with the approval of the regional coding director.  

• Organize and actively participate in all scheduled coding team meetings  

Education 

Required: High School Diploma or equivalent 
Preferred: Post-secondary Anatomy and Physiology 

Experience 

Required: 2-3 years coding, training, or auditing experience in a multi-specialty medical environment. 

Knowledge of government regulations for coding and documentation for professional coding 

Certifications 

Preferred: AHIMA or AAPC coding credentialed, CPC or CCS minimally 

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Our mission at Baptist Medical Network within the Baptist Health System is to be the premier healthcare organization in South Texas by providing high-quality, compassionate care that exceeds our communitys expectations. Our footprint spans across 12 counties with diverse multi-specialty providers who are dedicated to using their expertise and talents to strengthen our growing partnership within the surrounding communities.