Medical Coder Auditor/Educator

Pediatrix•,

2d•Remote

About The Position

We have a Medical Coding Auditor/Educator Career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a national organization, and one of the nation’s largest providers of prenatal, neonatal and pediatric services. Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We are confident that you'll love being a part of the Pediatrix team.

Requirements

Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) designation required with current active status.
3-5 years of experience in hospital administration and/or multi-specialty physician practice, with full exposure to managing the accounts receivables, physician billing, and CPT-4/ICD-10 coding with medical terminology.

Nice To Haves

Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of technical instructions and communicate them to physicians, coders, and other staff in a way that facilitates understanding.

Responsibilities

Evaluate, prepare, and present audit results and educational instruction to physicians, coders, and other staff using corporate approved audit and education tools and materials.
Ensure accurate and compliant coding and documentation review of pertinent medical records and physician services to identify need for coding education.
Provide coding education to physicians, coders, and other staff involved in the coding and billing process.
Assist in the formulation and improvement of division medical coding audit and education plans, materials, and processes.
Review clinical documentation to ensure adherence to Government and third‑party billing guidelines, AMA/AAP/CMS standards, Pediatrix algorithms, and internal coding policies.
Follow Medical Coding Audit & Education policies and procedures to provide compliant coding education to Pediatrix teams.
Provide instruction to physicians, coders, and staff on documentation standards and correct use of CPT‑4 and ICD‑10 codes.
Assist in developing and maintaining Committee‑approved standardized coding education materials.
Develop, review, and recommend updates to audit and education documents and templates to enhance overall auditing and education effectiveness.
Evaluate coding requirements and prepare materials for physicians and staff prior to education sessions in a timely and effective manner.
Produce accurate information when addressing coding inquiries and when preparing instructional session summaries.
Perform miscellaneous compliance audits and participate in company audit and education projects as assigned by senior management.
Resolve coding inquiries through coder email processes, patient dispute resolutions, and general education communication channels.
Participate in audit, education, and coding team meetings to identify solutions for coding guidance or presentation issues.
Meet or exceed departmental deadlines and performance goals consistently.
Maintain strict confidentiality in accordance with HIPAA regulations and Company policies.