Medical Coder Auditor/Educator in United States at Jobgether

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medical Coder Auditor/Educator in United States.

This role plays a key part in ensuring the accuracy, compliance, and quality of medical coding across physician services and clinical documentation.
You will review medical records, audit coding practices, and translate regulatory requirements into clear, practical education for physicians, coders, and administrative staff.
The position blends compliance expertise with training and communication, making it both analytical and educational in nature.
You will contribute directly to improving documentation standards, billing accuracy, and overall revenue integrity within a large, multi-specialty healthcare environment.
The role also involves developing standardized learning materials, supporting audit initiatives, and responding to coding inquiries across teams.
It is a highly collaborative position where attention to detail and the ability to explain complex coding rules clearly are essential.

• Review clinical documentation and medical records to ensure compliance with CPT, ICD-10, CMS, AMA/AAP guidelines, and internal coding policies.
• Conduct coding audits and identify documentation gaps, compliance risks, and opportunities for improvement.
• Deliver education and training sessions to physicians, coders, and staff on accurate coding practices and documentation standards.
• Develop, update, and maintain standardized audit tools, educational materials, and templates approved by compliance committees.
• Respond to coding inquiries, dispute resolutions, and clarification requests through established communication channels.
• Participate in audit and education initiatives, team meetings, and process improvement projects to enhance coding quality and consistency.
• Ensure timely completion of assignments while maintaining strict confidentiality in compliance with HIPAA and organizational policies.

• Certified Professional Coder (CPC) or Certified Coding Specialist–Physician (CCS-P) certification in active status required.
• 3–5 years of experience in physician practice or healthcare administration with strong exposure to CPT-4, ICD-10 coding, and revenue cycle processes.
• Solid understanding of medical terminology, billing workflows, and accounts receivable processes in multi-specialty environments.
• Experience interpreting complex clinical documentation and translating technical guidelines into clear, actionable guidance.
• Strong communication and presentation skills with the ability to educate clinical and administrative audiences effectively.
• Proficiency with healthcare and office software tools such as EHR/EPM systems (e.g., NextGen), Excel, Word, PowerPoint, and virtual meeting platforms.
• Strong analytical thinking skills with the ability to identify issues, evaluate data, and draw accurate conclusions.

• Comprehensive medical, dental, and vision insurance coverage
• Life and disability insurance
• Healthcare Flexible Spending Accounts (FSA), Dependent Care FSA, and Health Savings Accounts (HSA)
• 401(k) retirement savings plan
• Employee Stock Purchase Program
• Flexible benefit options with employer cost-sharing and voluntary plans
• Remote work eligibility (#LI-Remote)
• Strong focus on professional development, education, and continuous improvement in clinical coding practices