Coding Auditor / Educator

Job Description

Job Description

Description :

Seeking a detail-oriented and knowledgeable Provider / Coding Auditor Educator to support accurate and compliant coding practices across our provider network. This role will be responsible for performing audits of medical documentation and coding, educating providers on best practices, and ensuring adherence to industry guidelines and payer regulations. The ideal candidate is a certified coding professional with strong communication skills and a passion for education and compliance. This role requires flexibility to travel 50% of the time to various provider locations in the State of Georgia for onsite education and auditing support, as needed

Requirements : Key Responsibilities

• Conduct prospective, concurrent, and retrospective coding audits for professional and / or facility services.
• Review medical documentation to ensure codes assigned (ICD-10-CM, CPT, HCPCS) are supported and meet regulatory and payer guidelines.
• Deliver coding and documentation education to providers through individual coaching, team sessions, and formal training presentations—both virtually and in person.
• Develop educational tools such as tip sheets, coding guides, and compliance reference materials.
• Identify trends in audit findings and provide feedback to leadership to guide quality improvement initiatives.
• Serve as a subject matter expert (SME) on coding policies, E / M documentation, and payer regulations.
• Support new provider onboarding and orientation with training on coding expectations and documentation standards.
• Collaborate with compliance, revenue cycle, and clinical operations teams to improve accuracy in coding and billing.
• Assist in the development and revision of policies, procedures, and training programs related to coding and documentation compliance.
• Maintain up-to-date knowledge of CMS guidelines, payer-specific rules, and industry coding updates.

Qualifications :

Education & Certification :

Experience :

Skills :

Other Requirements :

Key Physical & Mental Requirements :

Equal Opportunity Employer Statement :

Southeast Primary Care Partners is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.