The Coding Compliance Educator works under the supervision of the Director of Compliance Audit to ensure coding and documentation guidance is consistent across the organization
Responsible for managing and responding to provider inquiries
Work very closely with providers and clinical leadership to provide education regarding compliance with guidelines and best practices
Present at clinical leadership meetings upon request
Prepare and create presentations for meetings with providers and clinical leadership
Train providers and clinical leadership on coding guidelines
Assist Director of Compliance Audit with the creation of job aids to describe coding rules
Review and analyze new CPT coding guidelines and create education material annually
Review audit results with the auditing team to identify trends
Schedule regular site meetings with all providers and clinical leadership
Manage and respond timely to provider inquiries
Works with auditors and conducts trend analyses to identify patterns
Develops and coordinates educational and training programs regarding elements of the coding compliance program
Provides feedback and focused educational programs based on the results of auditing and monitoring activities

Bachelor's degree in a health sciences discipline, business, or related field desired
3 years of experience in coding compliance, preferably with a focus on auditing or education in hospital or physician practice billing and coding operations or compliance
Coding Certification required (Any of CPC, CPC-H, CCS, CCS-P)

Medical insurance
Dental insurance
Vision insurance
Health care and dependent care flexible spending account
401(k) retirement savings plan with a company match
Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year
Ten company-paid holidays per year

Coding Compliance Educator – Medical Coding, Documentation

Key skills