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Conduct educational audits of provider documentation and professional coding, then deliver practical training to physicians, APPs, coders, and operational leaders. Develop educational materials, communicate regulatory and coding updates, and collaborate across compliance, revenue cycle, and Epic teams to improve coding accuracy and claims performance.
This is a remote position.
Superlanet is seeking a Coding Education Specialist for our healthcare client in Florida. This is a remote position with an ASAP start.
The Coding Education Specialist will serve as a professional coding subject matter expert, auditor, and educator, working directly with physicians, Advanced Practice Providers (APPs), coders, and practice leadership to improve coding accuracy, clinical documentation, regulatory compliance, and revenue integrity.
This position requires a unique combination of strong professional coding expertise, auditing capabilities, and exceptional communication and presentation skills. The Specialist will analyze complex coding and regulatory requirements and translate them into practical, easy-to-understand education for providers and operational leaders.
Perform educational audits of physician and provider documentation and professional coding to identify coding, documentation, compliance, and reimbursement opportunities.
Educate physicians, APPs, coders, and practice leadership on ICD-10-CM, CPT, HCPCS, E/M guidelines, medical decision-making, diagnosis specificity, medical necessity, and documentation requirements.
Analyze regulatory guidance and updates from organizations including CMS, AMA, FCSO, OIG, and other governing bodies.
Translate complex coding and regulatory requirements into practical guidance for clinical and operational audiences.
Develop and maintain educational materials, including presentations, coding alerts, tip sheets, newsletters, one-page bulletins, on-demand videos, and case-based education.
Deliver engaging education through virtual and in-person meetings, presentations, individual coaching, and group training.
Identify trends through coding audits, denials, compliance findings, regulatory changes, and internal reviews and develop targeted education to address identified gaps.
Support coding and documentation education for a provider population
Build strong relationships with physicians and APPs and effectively influence coding and documentation practices without direct authority.
Partner with Information Systems and Epic teams on documentation enhancements and workflow improvements that support accurate coding and claims submission.
Collaborate with Revenue Integrity, Coding, Accounts Receivable, Compliance, and operational leadership to improve claims accuracy and revenue cycle performance.
Partner with Compliance on education resulting from compliance audits, internal findings, and regulatory updates.
Remain current on changes to coding guidelines, payer requirements, and regulatory standards and communicate those changes throughout the organization.
Participate as a coding subject matter expert within an education team of approximately 11 professionals.
Adapt to changing organizational priorities and manage multiple educational, auditing, and compliance initiatives simultaneously.
Occasionally accommodate early morning, afternoon, or evening education sessions based on provider availability, with advance notice.
Associate or Bachelor's degree preferred.
Minimum 3 years of professional coding experience required.
Extensive knowledge and practical application of CPT, HCPCS, ICD-10-CM, outpatient professional coding, E/M guidelines, and documentation standards required.
Experience conducting coding and/or documentation audits strongly preferred.
Previous coding education, training, or leadership experience preferred.
Demonstrated ability to educate and communicate effectively with physicians, APPs, coders, and operational leadership.
Previous experience delivering presentations to varied professional audiences strongly preferred.
Strong public speaking, presentation, and interpersonal communication skills.
Experience analyzing coding trends, denials, audit findings, or compliance issues and translating findings into education preferred.
Healthcare Revenue Cycle, Compliance, Revenue Integrity, and/or Epic experience is beneficial.
CPC (Certified Professional Coder) required.
CPMA (Certified Professional Medical Auditor) required within two years of hire.
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