Professional Coding Provider Educator

Location: System Business Office, 2 Crescent Place, Oceanport, NJ 07757
Primarily remote; must reside in NJ, NY, or PA.

About the role

Our Professional Coding Audit and Education team partners with physicians, advanced practice professionals, and operational leaders to strengthen provider documentation, professional-fee coding accuracy, and compliance across a large multispecialty health system. In this senior, primarily remote position, you will independently review professional provider documentation, translate findings into practical education, and help clinical and executive partners resolve complex coding questions.

Responsibilities

• Conduct risk-based, opportunity-driven, specialty-specific, and provider-focused professional coding and documentation audits.
• Evaluate CPT, ICD-10-CM, HCPCS, modifiers, E/M, medical necessity, and professional billing accuracy.
• Research and apply authoritative CPT, CMS, Novitas, NCCI, and payer guidance effective for the date of service.
• Independently synthesize audit findings and regulatory guidance into concise reports, executive summaries, tip sheets, and frequent provider-facing PowerPoint presentations.
• Deliver respectful, practical education to physicians and advanced practice professionals based on audit findings and documentation improvement opportunities.
• Analyze a high volume of questions from providers, practice and regional managers, and senior executives; identify the core issue and provide guidance or engage the appropriate organizational team.
• Maintain specialty expertise while supporting additional specialties as volume, risk, regulatory changes, and organizational priorities require.
• Attend planned on-site meetings, provider education, and business travel as required.

Requirements

• Active AAPC Certified Professional Coder (CPC) credential.
• CPC-I strongly preferred.
• CPMA strongly preferred at hire and required within six months of employment if not already held.
• At least five years of recent professional fee coding experience, including provider documentation reviews or audits and physician or advanced practice professional education.
• Advanced expertise in at least one clinical specialty; priority needs include:
  • Cardiology and Orthopedics, with Urology, Neurology, Pediatrics, Internal Medicine, Family Medicine, or another high-volume specialty also valued.
• Demonstrated advanced PowerPoint creation, coding research, written audit reporting, presentation, analytical, and critical-thinking skills.
• Experience in a large multispecialty medical group, academic medical center, or integrated health system and Epic experience preferred.
• Willingness to support specialties outside the primary area of expertise based on organizational needs.

Qualifications

• Bachelor’s degree or equivalent combination of education and relevant professional experience preferred.

Pay

$68,700.00 - $106,600.00 per year

Benefits

• Generous Paid Time Off (Vacation, Holidays, Sick Time)
• Medical, Dental & Vision Insurance
• Prescription Drug Coverage
• Retirement Plans
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Life and Disability Insurance
• Wellness Programs and Flexible Spending Accounts
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts with local partners (e.g., NJ Devils, NJPAC, Verizon)
• Community involvement and volunteer opportunities