Community Health Systems Professional Services Corporation·Franklin, Tennessee
The Physician Education Specialist conducts training sessions for providers and staff on accurate coding and documentation to ensure regulatory compliance. They also perform medical record reviews and develop educational materials to improve documentation practices.
The Physician Education Specialist provides training and education to CHS-affiliated providers and staff on accurate coding and documentation to ensure compliance with federal, state, and local laws. This role involves conducting educational sessions, performing compliance reviews, and creating educational materials to promote adherence to regulatory standards and organizational policies.
Essential Functions
Conducts training sessions, seminars, and educational meetings for CHS-affiliated providers and staff, including the PPS Physician Coding and Documentation Seminar.
Reviews medical records to ensure accurate coding and documentation of evaluation and management services, procedures, and other physician work in compliance with Medicare, Medicaid, and other payer requirements.
Identifies and communicates educational needs to providers and coding staff, offering guidance on documentation and coding improvements.
Assists in developing, updating, and maintaining educational materials and resources to support compliance with coding and documentation regulations.
Remains current on legislative and regulatory changes impacting coding, documentation, and compliance, and updates staff and providers accordingly.
Collaborates with CHS-employed clinicians, coders, and ancillary staff to address documentation and coding issues, ensuring best practices and compliance.
Prepares comprehensive reports of compliance reviews, including recommendations for improvement, and presents findings to management, providers, and coding teams.
Maintains strict confidentiality regarding provider information, patient data, and financial records, ensuring compliance with organizational policies.
Reports noncompliance issues identified through audits and reviews to the department manager, director, or senior director.
Coordinates travel arrangements as necessary to fulfill job responsibilities, adhering to organizational travel policies.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Candidates must have a high school diploma or GED and 2-4 years of experience in medical coding or healthcare compliance. A bachelor's degree and professional certifications such as CCS are preferred.
Market context
In Tennessee, professional fee coding educator roles are typically driven by provider groups, health systems, and compliance teams that need accurate coding support and staff training. These positions are competitive because employers often prefer candidates with hands-on coding experience, a bachelor’s degree, and certifications such as CCS, alongside strong teaching and audit skills. Review the AI-summarized requirements and benefits on this platform to quickly compare fit, then tailor your application to show coding, compliance, and educator experience.