Medical Billing and Coding Educator

Willis Knighton Physician Network is seeking a qualified and experienced Medical Billing and Coding Educator to join our team. This position will play a critical role in educating physicians, practitioners, and other healthcare professionals across our network to ensure accurate billing, coding, and documentation. The role requires an educator who can blend real-world experience with effective instructional strategies.

Key Responsibilities:

• Develop and deliver specialized educational programs on medical billing and coding, tailored to the needs of the Physician Network.
• Lead workshops or seminars on billing, coding, and reimbursement advancements.
• Provide comprehensive instruction of coding guidelines (ICD-10, CPT, HCPCS) and billing practices.
• Provide in-depth instruction on risk adjustment models, specifically CMS HCC, emphasizing documentation improvement to capture accurate diagnosis coding.
• Ensure training compliance with federal regulations, payer policies, and internal standards.
• Keep abreast of updates in coding practices, healthcare regulations, and industry standards and ensure timely communication of changes to stakeholders.
• Collaborate with clinical, compliance, and Physician Network teams to develop focused education strategies that align with organizational goals.
• Provide individual support and mentoring to employees needing additional assistance.

Qualifications:

• Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) is required; additional certifications are a plus.
• Minium of 5 years experience in medical billing and coding.
• Comprehensive knowledge of risk adjustment payment models, including Medicare Advantage, commerical plans risk adjustment, and value-based care initiatives.
• Previous teaching or training experience preferred but not required.
• Excellent communication, presentation, and organizational skills.
• Proficiency with billing software and medical coding practices.
• Strong understanding of healthcare compliance regulations.
• Advanced knowledge of CMS and managed care payer reimbursement methodologies and policies.
• Bachelor's Degree in Business/Healthcare preferred.