CrawlJobs Logo

Provider Educator

southshorehealth.org Logo

South Shore Health

Location Icon

Location:
United States , Weymouth

Category Icon
Category:
-

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

79600.00 - 113800.00 USD / Year

Job Description:

Under the general direction of the Professional Coding Manager, this individual will serve as the subject matter expert and the key point of contact for evaluation and management, procedural CPT and ICD 10 coding documentation information for ProFee coding in the hospital and ASC setting. This person will provide feedback, charge capture concerns and offer suggestions for resolution. Duties include Professional documentation & coding reviews, as well as, collaborating with Compliance and Physician Liaison to address documentation and coding concerns. Specific educational topics to include, but not limited to, documentation specificity requirements, selection of primary and specialty care E&M levels, selection of procedural charges and codes, diagnosis assignment, and modifier assignment to ensure correct coding, legal compliance and complete charge capture.

Job Responsibility:

  • Assess professional provider documentation and professional coding education needs
  • Perform provider education using various communication tools and training platforms
  • Summarize chart audit results, trends, and corresponding action plans
  • Present education for new providers
  • Collaborate with SSH leadership, Coders, Billing Staff, Physician Billing Managers and I.S to identify and provide feedback
  • Collaborate with PB Coding Manager to create educational presentations
  • Perform post-presentation quality assurance reviews
  • Stay updated on current coding information
  • Communicate coding, billing and documentation specificity changes to providers
  • Participate in regular meetings
  • Provide continual coding and payer update education to providers
  • Maintain knowledge of E&M, HCPCS, modifier, ICD10 and CPT classification and coding
  • Assist with developing and implementing recommendations for changes in policies and procedures
  • Serve as a resource for physicians, billing, coding, and administrative staff
  • Complete required continuous training and education

Requirements:

  • Equivalent to four (4) years of high school education
  • Bachelor's degree is preferred
  • Greater than three (3) years ICD10/CPT coding/auditing experience in acute care and medical specialty setting is preferred
  • CCS - Certified Coding Specialist or CPC with Certified Professional Medical Auditor
  • Certified Coding Specialist - American Health Information Management Association (AHIMA)
  • Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC)

Additional Information:

Job Posted:
February 20, 2026

Expiration:
April 06, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Provider Educator

Nurse Practitioner - Advanced Practice Provider

The purpose of a Nurse Practitioner at Oak Street Health is to provide effective...
Location
Location
United States , Bellwood
Salary
Salary:
95738.00 - 206206.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
March 16, 2026
Flip Icon
Requirements
Requirements
  • Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate
  • National certification in at least one of the following specialties: Family Nurse Practitioner, Adult-Gerontology Primary Care Nurse Practitioner, Adult Nurse Practitioner, Gerontological Nurse Practitioner
  • Active, non-probationary state Nurse Practitioner license
  • Active DEA license
  • US Work Authorization
  • Someone who embodies being 'Oaky'
Job Responsibility
Job Responsibility
  • Provision of exceptional primary care
  • Conduct office visits for routine and acute issues
  • Administer Annual wellness visits and health risk assessments
  • Care coordination with other providers, specialists, testing facilities, and agencies
  • Population health leadership, in coordination with the Care Team
  • Assisting the care team with phone triage and outreach
  • Educating patients on their health conditions, care plans, and treatments
  • Participating in Oak Street Health promotional activities
  • Conducting home visits as needed
  • Other duties, as assigned
What we offer
What we offer
  • Competitive Salary
  • Quarterly bonus based on quality metrics
  • 6 weeks of PTO, inclusive of vacation, sick time, major holidays, and continuing medical education (CME)
  • $5000 CME stipend
  • Tuition reimbursement
  • Provided Health, Vision, Dental, and Life Insurance
  • 401K Investment, up to 4% company match, vested immediately
  • Provided Medical Malpractice Insurance
  • Dedicated Medical Scribe and Medical Assistant
  • Relocation package on a case-by-case basis
  • Fulltime
Read More
Arrow Right
New

Senior Field Reimbursement Specialist

Under general supervision of a Senior Manager, the Sr Field Reimbursement Specia...
Location
Location
United States , Remote
Salary
Salary:
100700.00 - 155100.00 USD / Year
cencora.com Logo
Cencora
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience related and progressively responsible in a medical practice, private or third-party reimbursement arena, or pharmaceutical industry in sales, managed care, or clinical support
  • Experience within healthcare provider support such as a physician practice, patient assistance program or similar pharmaceutical/biological support program experience preferred
  • Bachelor’s degree preferred
  • Minimum of 7 years of experience
  • Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
  • Ability to effectively manage multiple client relationships and customer
  • Ability to manage and support external meetings, presentations, and client interactions
  • Ability to lead and work in a matrix environment
  • Proven teamwork and collaboration skills with a demonstrated record of accomplishment of working in highly matrixed and cross-functional organizations
  • Ability to manage multiple tasks, timelines, expenses, and other activities necessary to fulfill the roles and responsibilities of a Field Reimbursement Specialists
Job Responsibility
Job Responsibility
  • Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client’s product
  • Track progress and evaluate results of assigned activities
  • Recommends changes in procedures
  • Lead or direct more complex projects or certain aspects of projects
  • Operates with reasonable latitude for un-reviewed action or decision
  • Work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings
  • Manage daily activities that support appropriate patient access to our client’s products in the provider offices and healthcare institutions, working as a liaison to other patient assistance and reimbursement support services offered by our clients
  • Review patient insurance benefit options with appropriate authorizations
  • Validate prior authorization requirements
  • Understanding of Specialty Pharmacy processes
What we offer
What we offer
  • medical
  • dental
  • vision care
  • comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
  • support for working families
  • backup dependent care
  • adoption assistance
  • infertility coverage
  • family building support
  • behavioral health solutions
  • Fulltime
Read More
Arrow Right
New

Field Reimbursement Specialist

Field Reimbursement Specialists (FRSs) are responsible for providing field suppo...
Location
Location
United States
Salary
Salary:
88700.00 - 126940.00 USD / Year
cencora.com Logo
Cencora
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma/GED required
  • Bachelor's degree or specific Practice Management experience preferred
  • Project management skills
  • Experience with extensive travel
  • Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
  • Ability to conduct field-based reimbursement and access support, education, and consultation
  • Understands the dynamics of Specialty Pharmacy vs. Specialty Distribution
  • Broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care
  • Experience in revenue cycle, buy and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization, coding, and appeals processes
  • Deep understanding of medical and pharmacy benefits/policies
Job Responsibility
Job Responsibility
  • Provide field support for patient access to client’s specified products through interaction with the client’s patient support program and provider customers
  • Provide expertise and advanced skills to resolve complex patient access and provider reimbursement issues
  • Provide educational services across a variety of healthcare provider sites of care
  • Work directly with the provider and their office support staff
  • Interact with other reimbursement and patient support services provided by clients
  • Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics
  • Manage daily activities that support appropriate patient access to our client’s products in the provider offices
  • Work as a liaison to other patient assistance and reimbursement support services offered by our clients
  • Travel weekly, which could include overnight, to healthcare offices within a designated territory
  • Educate provider office staff and practice managers on logistics needed to support client product
What we offer
What we offer
  • Medical
  • dental
  • vision care
  • comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
  • support for working families
  • backup dependent care
  • adoption assistance
  • infertility coverage
  • family building support
  • behavioral health solutions
  • Fulltime
Read More
Arrow Right

Clinical Nurse Specialist - Bariatrics

The CNS/ Candidate CNS Bariatric Services will provide a core fundamental role a...
Location
Location
Ireland
Salary
Salary:
Not provided
hermitageclinic.ie Logo
Blackrock Health Hermitage Clinic
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Be registered in the General Division of the active Register held by Nursing and Midwifery Board of Ireland
  • Have a minimum of 1 year post registration full time experience or an aggregate of 1 year’s full-time experience in the division of the register in which the application is being made
  • Have a minimum 1 years’ experience or aggregate of 1 year’s full-time experience in the specialist area of bariatric surgical care and/or medical weight management services
  • If the applicant does not have the relevant specialist experience, they will be supported to attain one years’ clinical specialist experience
  • Have a third level qualification at not less than Level 9 or higher award that is relevant to the specialist area of care (equivalent to 60 ECTS or above), and in line with the requirements for specialist practice as set out by the National Council for Nursing and Midwifery
  • If the applicant does not have the relevant Level 9 qualification, the applicant will be supported to undertake the required post graduate education as relevant to the specialist area
  • Have the clinical, managerial, and administrative capacity to properly discharge the functions of the role
  • Have excellent communication and interpersonal skills
  • Demonstrate evidence of continuing learning and professional development
  • It is essential that you have valid work permission for the Republic of Ireland to take up employment for this position, or in the case of critical skills, you must be eligible for a work permit
Job Responsibility
Job Responsibility
  • Maintain throughout the Hospital awareness of the primacy of the patient in relation to all Hospital activities
  • Encourage recognition of the patient as an individual, ensuring patients’ needs and comfort are given priority
  • Work within the Scope of Practice
  • Comply with all existing Hospital policies
  • Demonstrate knowledge of the Hospital/Departmental emergency plans
  • Ensure the provision of a high standard of care to the patient and families is consistent with the mission, vision, values and strategic plan of the Hospital
  • Demonstrate behaviour consistent with the Values of the Hospital
  • Reporting relationship will be to the Assistant Director of Nursing
  • Be professionally accountable to the Director of Nursing
  • To work with multi-disciplinary team to ensure those patients receiving treatment have access to specialist care, knowledge and expertise
What we offer
What we offer
  • Competitive salary
  • Onsite parking
  • Pension
  • Annual bonus*
  • Discounted café
  • Sports and Social club
  • Employee Assistance Programme
  • Discounted onsite pharmacy
Read More
Arrow Right
New

Service Line Nurse Educator

Service Line Nurse Educator for the Cardiac Division at Atrium Health Carolinas ...
Location
Location
United States , Charlotte
Salary
Salary:
44.15 - 66.25 USD / Hour
aurorahealthcare.org Logo
Advocate Aurora Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Master's in nursing, Nursing Education or Health Care Administration required
  • Candidates for external hire or internal promotion without Master's degree must be enrolled in the appropriate Master's program upon hire/transfer date and must complete program within 3 years of enrollment in the program
  • Two years of teaching experience preferred
  • Minimum 3 years clinical experience as a RN in practice area required
  • Appropriate practice area certification required within 1 year of eligibility for certification exam
  • Life Support Instructor Certification may be required based on the needs of the patient population served
  • Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or, if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state
  • or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works
  • Knowledge of adult learning principles, curriculum and program development, program evaluation, self-learning modules
  • Proficient at Microsoft Office programs and use of AV equipment
Job Responsibility
Job Responsibility
  • Develops a systematic education plan and evaluates overall nursing staff development programs in response to patient and healthcare trends, regulatory requirements, and strategic priorities of the organization
  • Synthesizes literature and research findings to design interventions for selected problems or populations and promotes staffs knowledge and skill in research and evidence based process and the application of these findings in practice
  • Supervises staff in unit educator role and participates in their annual performance review
  • Provides educational consultation and services across the continuum in area of specialty
  • Assesses as learning styles and creates educational programs and materials based on assessment of population to be educated
  • Conducts annual education needs assessment utilizing multiple data sources. Analyzes and makes recommendations regarding priorities
  • Coaches and mentors unit educators and staff in the development of education skills (curriculum development, adult learning principles, evaluation etc.)
  • Develops educational effectiveness measures for all programs and outcome measures for selected programs
  • Participates in selection of preceptors. Coaches preceptors on skill development and provide continuing education. Provides ongoing feedback and gives input into annual performance evaluation
  • Utilizes multiple education modalities and leverages use of technology in order to provide the most cost effective and efficient programs
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Fulltime
Read More
Arrow Right
New

High School Special Education Teacher

IDEA Special Education Teacher is the teacher of record for their students and p...
Location
Location
United States , Remote; Denton
Salary
Salary:
52000.00 USD / Year
stridelearning.com Logo
Stride, Inc.
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Texas Special Education and ESL preferred
  • Ability to work collaboratively with other teachers to interpret and produce numeric, tabular, and graphic representations of student data, and use it to drive instructional decisions
  • Receptive to receiving coaching on a regular basis with administrators
  • Ability to embrace change and adapt to ensure excellent student outcomes
  • Proficient in Microsoft Excel, Outlook, Word
  • PowerPoint
  • Ability to rapidly learn and adapt to new technologies and teaching platforms
  • Strong written/verbal communication skills
  • Ability to travel up to 20% of the time to support in-person student testing, attend professional development or other travel as required by the school
  • Ability to clear required background check
Job Responsibility
Job Responsibility
  • Collaborate with parents and colleagues to manage coarse goals, curriculum, and materials that enhance the learning experience
  • Manager to create compliant IEP’s, progress reports and other state specific required special education documentation
  • Participate and provide input for collaborative special education meetings such as annual IEP meetings
  • Actively participate in Professional Learning Communities (or professional development)
  • Provide rich and engaging synchronous and asynchronous learning experiences for students
  • Analyze student data to prescribe remediation and enrichment as needed
  • Participate in data analysis meetings to monitor student growth
  • Collect data and work samples to monitor student progress towards IEP goals and objectives
  • Document all contact with parents, collaborations with general education teachers, and interventions with students
  • Using provided resources to ensure accommodations and modifications for students with disabilities such as assistive technology, supplemental curriculum, and accessible text
  • Fulltime
Read More
Arrow Right

Ambulatory Care Pharmacist

As part of the pharmacy team with Kaiser Permanente, you’ll learn and grow as yo...
Location
Location
United States , Anaheim
Salary
Salary:
105.01 - 108.16 USD / Hour
kaiserpermanente.org Logo
Kaiser Permanente
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Pharmacist License (California) required at hire
  • National Provider Identifier required at hire
  • Basic Life Support within 3 months of hire
  • Minimum twelve hundred (1200) hours experience in the last five years working under collaborative drug therapy management protocol including initiating, adjusting, discontinuing, and refilling medication in patients with chronic disease states OR successful completion of an ASHP Accredited PGY-1 residency
  • A qualified candidate should have at least ONE of the following credentials or experience: Board Certified Oncology Pharmacist (BCOP) OR, Have completed PGY2 in oncology practice OR, a candidate that has completed 1000 hours over last three (3) years in area of sterile compounding oncology pharmacy with direct clinical protocol management
  • on condition of achieving BCOP within three (3) years of employment OR, a candidate that has successfully completed an ASHP accredited PGY1 Residency (within three (3) years), with an oncology pharmacy rotation during the residency year and condition of achieving BCOP within three (3) years of employment
  • Degree in Pharmacy meeting minimum mandatory educational requirements for licensure
  • Passage of a standardized competency assessment with the exception of current Ambulatory Care Pharmacists
  • Comprehensive knowledge of current pharmacological/biopharmaceutical principles, medical terminology, pathologies, disease state management, age appropriate therapy, and other information as it pertains to medical or pharmaceutical care management plan
  • Knowledge of Federal/State laws/regulations regarding delivery of pharmacy services and the scope of practice of a pharmacist
Job Responsibility
Job Responsibility
  • Provides ambulatory pharmaceutical care services using approved protocols in collaboration with other health professional, including managing patient drug therapy, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications
  • Promotes high quality, evidence-based, cost-effective pharmaceutical care
  • Conducts patient medication history inquiries upon referral from physicians and other medical personnel
  • Given a diagnosis, synthesize a treatment plan, which may include drug therapy and lifestyle modifications, and transition within the continuum of care settings
  • Identifies, resolves, and prevents potential and actual medication-related problems including: untreated indications, improper drug selection, subtherapeutic dosage, overdose, failure to receive medication, adverse drug reactions, drug interactions, and medication without indication
  • Under protocol, initiates, adjusts, monitors, and recommends changes in drug therapy based on information obtained through patient interviews, objective monitoring parameters, review of drug profiles and the patient medical record
  • Coordinates and interprets laboratory monitoring of drug therapy, including serum drug levels, electrolytes, and other approved drug-related laboratory testing
  • Provides patient monitoring for the purpose of evaluating and optimizing patient outcomes, drug utilization and patient compliance, detecting and/or minimizing ADRs, eliminating unnecessary drug use and duplication
  • Provides patient education related to the individuals disease state, including predictable actions, side effects, reasons for proper compliance, and any special instruction
  • Assure ongoing performance improvement of the pharmaceutical care services provided
What we offer
What we offer
  • Health Care Benefits
  • Compensation
  • Vacation, Holiday & Sick Leave
  • Labor Management Partnership
  • Work-Life Balance
  • Healthy Workforce
Read More
Arrow Right

Nursery Early Years Practitioner

Early years practitioner covering MAT leave. We are looking for a caring, enthus...
Location
Location
United Kingdom , Cornwall
Salary
Salary:
Not provided
zeneducate.com Logo
Zen Educate
Expiration Date
July 24, 2026
Flip Icon
Requirements
Requirements
  • Caring
  • enthusiastic
  • dedicated
  • ability to provide high-quality early years care and education
  • ability to support children’s learning, development, and wellbeing in line with the EYFS framework
  • ability to work collaboratively with colleagues
Job Responsibility
Job Responsibility
  • Provide high-quality early years care and education
  • support children’s learning, development, and wellbeing in line with the EYFS framework
  • work collaboratively with colleagues to create a safe, fun, and nurturing environment
  • Fulltime
Read More
Arrow Right