Surgical Coding Educator, CPC

Surgical Coding Educator, CPC

• Remote, USA, United States
• temprop=”jobLocation” itemscope=”” itemtype=”http://schema.org/Place”>Employees can work remotely
• temprop=”employmentType”>Full-time
• Department: 953 – Virtual Products – Scribe and Coder

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
• Active and in good standing AAPC Certified Professional Coder (CPC) certification required
• Active and in good standing 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 to meet with providers.
• Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
• Must comply with HIPAA rules and regulations

Interpersonal Skills and Attributes:

• Able to have honest, difficult conversations with providers and office managers
• Passion for efficiency and a drive to reduce redundancy and waste
• Ability to work in a fast-paced environment with all levels of management
• Able to work through periods of ambiguity
• Strategic and tactical; able to help scale operations for growth
• Clear and concise oral and written communication
• Knack for prioritizing efficiently and multi-tasking
• Self-directed with the ability to take initiative
• Competent in maintaining confidential information
• Enthusiastic with the ability to thrive in an atmosphere of constant change
• Strong team player with ability to manage up members of team to encourage partnership and cooperation with clinic staff

The salary range for this role is $72,000.00-$80,000.00 in base pay and exclusive of any bonuses or benefits. This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.