RCM Coding Education Specialist

OneOncology

9d•Remote

About The Position

The RCM Coding Education Specialist reports to the Manager, Coding. The role develops, delivers, and evaluates provider-focused coding and documentation education programs to promote accurate clinical documentation, compliant coding practices, and optimal charge capture. The specialist serves as a subject matter expert in professional fee coding, documentation guidelines, regulatory compliance, and industry best practices, fostering continuous learning and documentation excellence across the organization. The role supports physicians and advanced practice providers through education, coaching, coding and documentation reviews, and the creation of learning resources. It works with coding, compliance, revenue cycle, and operational leaders to address trends and improvement opportunities, and supports compliance through audits, corrective action plans, and ongoing provider education. Attendance is an essential job function. Duties and responsibilities may change or be added at any time, with or without notice.

Requirements

High school diploma or equivalent required.
At least 2–3 years of healthcare coding, charge capture, compliance, auditing, or provider education experience.
Working knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
Basic understanding of provider documentation requirements, medical necessity, and regulatory compliance standards.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential.
Strong written and verbal communication skills, including the ability to explain coding concepts to providers and clinical staff.
Excellent organizational skills and attention to detail.
Ability to analyze documentation and identify coding or documentation improvement opportunities.
Ability to maintain confidentiality and handle protected health information in accordance with HIPAA regulations.
Proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and Outlook.
Attendance is an essential job function.

Nice To Haves

Associate’s degree in Health Information Management, Healthcare Administration, or a related field.
Previous experience supporting physician coding education, clinical documentation improvement (CDI), or provider engagement initiatives.
Familiarity with professional fee coding, E/M coding guidelines, and Urology/Oncology-specific coding requirements.
Experience assisting with coding audits, monitoring, and education program development.
Knowledge of payer policies, reimbursement methodologies, and compliance regulations.
Experience developing educational materials, tip sheets, presentations, or provider communications.
Experience with electronic health records (EHR) and coding/billing software.
Expertise in professional fee coding, provider education and coaching, clinical documentation improvement, compliance and regulatory knowledge, data analysis and reporting, revenue cycle and charge capture optimization, communication and presentation, and relationship building and stakeholder engagement.

Responsibilities

Develop and deliver coding and documentation education for physicians and advanced practice providers.
Interpret and communicate coding guideline changes, payer updates, and regulatory requirements.
Conduct coding and documentation reviews to identify education opportunities and performance improvement initiatives.
Collaborate with coding, compliance, revenue cycle, and operational leaders to address coding and documentation trends.
Provide one-on-one provider coaching and specialty-specific education.
Analyze audit results, denial patterns, coding accuracy metrics, and charge capture opportunities.
Create educational materials, reference tools, and training programs that support coding compliance and documentation excellence.
Support compliance efforts through coding audits, corrective action plans, and ongoing provider education.
Serve as a resource for coding, documentation, and reimbursement-related questions.
Take on additional responsibilities as assigned to support the organization’s mission.