Coding Education Specialist

This is a fully remote position, open to applicants in Florida.

📋 Description

• Conduct educational audits on physician and provider documentation as well as professional coding.

• Provide education for physicians, APPs, coders, and practice leadership regarding ICD-10-CM, CPT, HCPCS, E/M guidelines, medical decision-making, diagnosis specificity, medical necessity, and documentation standards.

• Review and analyze regulatory guidance and updates from CMS, AMA, FCSO, OIG, and other regulatory bodies.

• Simplify complex coding and regulatory requirements into actionable guidance for clinical and operational audiences.

• Create and update educational resources, including presentations, coding alerts, tip sheets, newsletters, one-page bulletins, on-demand videos, and case-based education materials.

• Facilitate education through virtual and in-person meetings, presentations, individual coaching, and group training sessions.

• Identify trends through coding audits, denials, compliance findings, regulatory changes, and internal reviews, then implement targeted educational initiatives.

• Support coding and documentation education for a diverse provider population.

• Foster relationships with physicians and APPs to influence coding and documentation practices positively.

• Collaborate with Information Systems and Epic teams to enhance documentation and improve workflows.

• Work alongside Revenue Integrity, Coding, Accounts Receivable, Compliance, and operational leadership to boost claims accuracy and revenue cycle performance.

• Collaborate with Compliance on educational initiatives following compliance audits, internal findings, and regulatory updates.

• Stay updated on coding guidelines, payer requirements, and regulatory standards and communicate changes throughout the organization.

• Act as a coding subject matter expert within a team of approximately 11 professionals dedicated to education.

• Adapt to evolving priorities while managing multiple educational, auditing, and compliance projects simultaneously.

• Occasionally accommodate early morning, afternoon, or evening educational sessions according to provider availability.

⛳️ Requirements

• Associate or Bachelor's degree is preferred.

• A minimum of 3 years of professional coding experience is required.

• Extensive knowledge and practical application of CPT, HCPCS, ICD-10-CM, outpatient professional coding, E/M guidelines, and documentation standards are necessary.

• Experience in conducting coding and/or documentation audits is strongly preferred.

• Previous experience in coding education, training, or leadership roles is preferred.

• Proven ability to educate and communicate effectively with physicians, APPs, coders, and operational leadership.

• Prior experience in delivering presentations to diverse professional audiences is strongly preferred.

• Excellent public speaking, presentation, and interpersonal communication skills are essential.

• Experience in analyzing coding trends, denials, audit findings, or compliance issues and translating those findings into educational content is preferred.

• Background in Healthcare Revenue Cycle, Compliance, Revenue Integrity, and/or Epic systems is beneficial.

• CPC (Certified Professional Coder) certification is required.

• CPMA (Certified Professional Medical Auditor) certification is required within two years of hire.

🏝️ Benefits

• Comprehensive health insurance plans.

• Retirement savings options with employer matching.

• Opportunities for professional development and continuing education.

• Flexible work schedules to accommodate personal needs.