Remote Coding Educator & Auditor

The Coder Educator & Auditor plays a critical role in supporting the Enterprise Professional Coding team by ensuring coding accuracy, compliance, and continuous coder development across the organization. This position is responsible for conducting coding audits, identifying trends and opportunities for improvement, and delivering targeted education to coding staff to enhance performance, quality, and regulatory compliance.The Coder Educator & Auditor performs routine and focused reviews of professional coding across multiple specialties, evaluates adherence to ICD-10-CM, CPT, HCPCS, CMS, and payer-specific guidelines, and provides constructive feedback to coders and leadership. This role partners closely with coding management to develop educational initiatives, support onboarding and ongoing training programs, and drive coding quality improvement efforts.Using audit findings and data analysis, the educator identifies coding trends, knowledge gaps, and compliance risks while developing training materials, educational sessions, and remediation plans. The position serves as a subject matter expert for coding guidelines, regulatory updates, and best practices to support accurate reimbursement and revenue integrity.The ideal candidate brings extensive professional fee coding and auditing experience, strong knowledge of healthcare compliance regulations, proven educator and mentoring skills, and the ability to influence coding quality through data-driven education and collaboration.Key ResponsibilitiesConduct routine and focused coding audits to assess coding accuracy, compliance, and adherence to organizational standards.Review coding quality metrics and identify trends, knowledge gaps, and opportunities for improvement.Provide individualized and group education for coders based on audit findings, regulatory updates, and identified training needs.Develop and maintain coding education materials, competency assessments, reference guides, and training programs.Support onboarding and training of new coding staff.Serve as a subject matter expert for ICD-10-CM, CPT, HCPCS, CMS, NCCI, and payer-specific coding guidelines.Monitor regulatory and industry changes and communicate impacts to coding staff and leadership.Collaborate with coding leadership to develop corrective action plans and educational strategies to improve coding accuracy.Participate in coding quality initiatives, compliance reviews, and revenue cycle optimization efforts.Assist with coder competency evaluations and quality monitoring programs.Prepare audit reports and present findings, recommendations, and educational outcomes to leadership.Education: Bachelor’s Degree required or relevant experience may be considered in lieu of Bachelor's degree.Experience: 5 years relevant experience required. 5 years of coding experience in a tertiary setting preferred.Licensure: Coding certification through the AHIMA or AAPC as a RHIA, RHIT, CCS, CCS-P, CPC, CCA, and CPC, preferred.Nice to Have Skills & ExperienceExperience with these specialties:Allergy/ImmunologyAnesthesiologyCardiac SurgeryCardiologyDentistryDiagnostic RadiologyEndocrinologyFamily MedicineGastroenterologyGeneral SurgeryGeneticsHematology and OncologyHospitalistsInfectious DiseaseInternal MedicineObstetrics & GynecologyOphthalmologyOtolaryngologyPain ManagementPalliative MedicinePediatricsPhysical Medicine and RehabPlastic SurgeryPT/OT/SpeechRadiation OncologyRheumatologyUrology