Provider Education Coordinator

Job Title - Provider Education Coordinator
Location - Troy, MI
Schedule: Monday – Friday, 9:00 AM – 5:00 PM (Flexible start between 7:00 AM – 9:00 AM)
Job Type: 13-week contract (Temp to Hire)

GENERAL SUMMARY:
Directly coordinates, oversees, and controls the flow of provider education and medical
record coded information required of the hospital and ambulatory sites for billing,
reimbursement, and compliance purposes. The Provider Education Coordinator serves
as a subject matter expert for documentation and coding and utilizes expertise to
analyze revenue cycle metrics to identify documentation trends for outlier providers and
facilitates education work plans to improve the quality, completeness, timeliness, and
accuracy of medical record documentation for professional and hospital services.
Serves as an educational resource and subject matter expert to providers and/or coding
staff related to coding and documentation including, but not limited to local, State and
Federal coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical
Condition Categories (HCC), and standards of compliance.

PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Analyze individual provider and specialty coding and reimbursement reports/metrics
and translate data into actionable education work plans for physicians, nonphysician
practitioners, residents, fellows, and ancillary staff.
2.Responsible for promoting improvements in documentation practices for assigned
specialties through routine and rapid interaction with providers and specialties.

3. Facilitates education events, workshops, conferences, and presentations.

4. Distributes education materials, tools, and resources.

5. Involved with health system quality and core measure initiatives as they relate to documentation, coding, reimbursement, compliance, and workflow.
6. Oversees and regularly reports to department management on the status of departmental documentation and coding trends and mitigation strategies.
7. Monitors the availability, accuracy, and quality of all supporting medical documentation required for billing purposes and ensures that all necessary documentation is submitted on a timely basis.

8. Identifies patterns and trends in audit performance and query metrics to enable targeted education and improvement efforts.
9. Documents education activities and records meeting information in an access database.
10. Assists in the development, implementation, and monitoring of special projects
11. Serves as the subject matter expert to assigned specialties and responds to inquiries and concerns expressed by providers or department administrators regarding documentation & coding.
12. Acts as a liaison between providers, department administrators and revenue cycle for documentation, coding, and reimbursement activities, projects, reporting, and
communications.
13. Responsible to maintain current knowledge of applicable Federal, State, and local laws and regulations, the Organizational Integrity Program, Standards of Conduct,
as well as other coding policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
14. Performs other related duties as required.

Required Qualifications:

• Education:

  • High School Diploma or GED required.

  • Associate’s Degree in Healthcare, Medical Record Sciences, Business/Healthcare Administration preferred.

  • In lieu of a degree, four (4) years of relevant coding experience will be considered.

• Certifications (Must have at least one):

  • CPC (Certified Professional Coder)

  • CCS (Certified Coding Specialist)

  • CCS-P (Certified Coding Specialist – Physician-based)

  • RHIT (Registered Health Information Technician)

  • RHIA (Registered Health Information Administrator)

• Experience:

  • Minimum 3 years of medical coding and billing experience required.

  • Experience educating or training clinical staff in documentation or coding preferred.

  • Familiarity with healthcare compliance, revenue cycle operations, and audit response processes.