Provider Auditor Educator

About the role

The Provider Auditor Educator will support coding quality, documentation improvement, and provider education initiatives for a leading healthcare organization.

Key Responsibilities

• Conduct professional fee coding audits and documentation reviews across multiple specialties.
• Analyze audit findings and provide clear, actionable recommendations for coding and documentation improvement.
• Deliver one-on-one and group education sessions to physicians, APPs, residents, and clinical staff.
• Coach providers on Evaluation & Management (E&M) documentation requirements and specialty-specific coding guidelines.
• Partner with coding, billing, and compliance teams to resolve coding and documentation concerns.
• Develop educational materials, presentations, and training programs to support ongoing compliance initiatives.
• Monitor coding trends, regulatory updates, and payer requirements to ensure organizational compliance.
• Assist with documentation improvement projects and other coding quality initiatives as assigned.

Qualifications

• 5–8+ years of experience in professional fee coding audits and provider education.
• Strong background in E&M coding.
• Proven ability to educate and communicate effectively with physicians and other healthcare providers.
• CPC or CCS-P certification required.
• Experience conducting physician audits strongly preferred.
• Strong analytical, organizational, and problem-solving skills.
• Proficiency with Microsoft Office and reporting tools.