Full-Time ProFee Provider Coding Educator

Coding Educator will be responsible for provider satisfaction related to CODER+ services provided by Privia Health.

The Educator will partner with providers and staff to ensure smooth delivery of CODER+ surgical services and maintain provider satisfaction.

Collaborate with Providers, CODER+ Program Manager and Clinic Managers to resolve CODER+ issues.

Ideal candidate will have expertise in surgical specialty medical coding, provider education, billing, and compliance with government and commercial payers.

Duties:

• Conduct provider/clinical staff documentation reviews to identify opportunities for improvement
• Create and/or deliver educational material (virtual or in-person)
• Apply coding standards to medical record documentation for accurate coding
• Perform quality reviews of records (electronic and handwritten)
• Review coder work to validate standards
• Research and answer coding questions for providers and staff
• Educate coders and staff on coding guidelines
• Assist in development and maintenance of processes
• Collaborate with internal Privia+ and Privia teams
• Collaborate with vendor partners
• Ensure compliance with federal and state regulatory bodies
• Assist in Privia+ day-to-day coding/educational needs
• Perform other duties as assigned

Requirements:

• 5+ years of provider medical coding experience
• OB-GYN coding experience preferred
• AAPC CPC and/or CPMA certification highly preferred
• Experience in physician practice setting preferred
• Ability to work with physicians, staff, health plans, vendors, Privia+ and Privia teams
• Knowledge of official coding conventions (AMA, CMS)
• Compliance with HIPAA rules
• Ability to have difficult conversations with providers and managers
• Passion for efficiency
• Multi-tasking and prioritizing abilities
• Excellent communication skills (oral and written)
• Ability to work in a fast-paced environment
• Ability to work through ambiguity
• Maintaining confidential information
• Ability to thrive in a changing environment
• Travel as needed

Salary: $75,000 - $80,000 base salary. Eligible for 10% annual bonus, plus benefits (medical, dental, vision, life, pet insurance, 401K, PTO, wellness). Salary based on experience, education, and location.

Remote Work Requirements (if applicable): Minimum download speed 5 Mbps, upload speed 3 Mbps. Internet provider assistance if necessary. Expense reimbursement for employees working from home.

EEO Statement: Privia Health fosters a diverse and inclusive work environment.

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