Compliance Educator

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

📋 Description

• Design and provide education on coding, documentation, and compliance for providers and clinical leadership within designated service lines.

• Convert audit results, coding patterns, regulatory updates, and recognized risk areas into understandable, actionable education and guidance.

• Address inquiries from providers and clinical leadership concerning coding, documentation, billing, and compliance standards.

• Investigate, interpret, and implement authoritative coding and regulatory instructions, including CPT, ICD-10-CM, HCPCS, modifiers, CMS guidelines, and relevant federal and state laws.

• Develop and update educational resources, including materials, presentations, job aids, tip sheets, and other tools.

• Prepare and lead educational sessions for providers, sites, and clinical leadership.

• Collaborate with Compliance Audit to evaluate audit results, recognize persistent trends, and establish education priorities.

• Examine audit and monitoring outcomes to detect patterns, discrepancies, emerging risks, and targeted educational prospects.

• Ensure uniform education content across providers, sites, and service lines.

• Work with Compliance Audit, clinical leadership, Revenue Cycle, and other stakeholders to address issues and facilitate corrective measures.

• Stay updated through ongoing education and professional growth.

• Utilize independent judgment in resolving complex or sensitive coding and compliance issues.

• Engage in departmental projects, process enhancement initiatives, and other compliance-related tasks.

• Perform additional duties as assigned.

⛳️ Requirements

• An active coding credential such as CPC, CCS, CCS-P, COC, RHIT, RHIA, or a similar credential is required.

• A minimum of 3 years of progressively responsible experience in coding compliance auditing or provider education is required.

• Experience in researching and applying CMS and other authoritative coding and documentation guidelines is required.

• Advanced knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and professional fee coding.

• Proficiency in Microsoft 365 applications.

• Familiarity with CMS documentation and billing standards.

• Capability to research, interpret, and clearly convey authoritative regulatory and coding guidance.

• Strong skills in presentation and facilitation.

• Ability to analyze audit data to identify recurring trends and educational opportunities.

• Capacity to exercise independent judgment in addressing complex or sensitive provider inquiries.

• Ability to handle competing priorities and autonomously manage assigned provider/site education.

• Strong written communication skills and experience in educational content development.

• Direct experience in educating physicians, advanced practice providers, or clinical leadership is highly preferred.

• Experience in developing and delivering coding or compliance education is preferred.

• A Bachelor’s degree in healthcare, business, education, or a related field is preferred; equivalent relevant experience may be accepted.

• Ability to maintain strict confidentiality regarding patient, provider, proprietary, and other sensitive information.

🏝️ Benefits

• A remote-first culture that emphasizes flexibility and collaboration.

• Opportunities for career advancement while making a significant impact.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Health care and dependent care flexible spending accounts.

• 401(k) retirement savings plan with company matching.

• Paid time off (PTO) starts accruing immediately upon the start date at a rate of 15 days per year.

• Ten company-paid holidays each year.