A Brief Overview

A Physician Educator (Professional Billing Coding and Documentation Educator) provides training and education on proper documentation and coding practices, ensuring compliance with regulations and standards. They play a vital role in healthcare settings by educating providers and clinicians, reviewing coding accuracy, and staying updated on evolving guidelines.

The responsibilities consist of evaluation of the adequacy and accuracy of documentation in support of services billed, including ICD-10, CPT/HCPCS and other third-party payer codes, the medical necessity of services provided, and the compliance with other documentation, coding and billing standards. This position provides training, consultation, review and feedback to clinicians on their medical service documentation and coding to ensure that SMP clinics receive appropriate reimbursement and conforms to applicable guidelines and regulations.

Locations
Stanford Health Car...