Professional Billing Coding & Documentation Educator Remote

Elevate Coding Accuracy. Empower Providers. Strengthen Compliance. We are seeking an experienced Professional Billing Coding and Documentation Educator to play a critical role in physician education, professional billing accuracy, coding compliance, and clinical documentation improvement. This is an opportunity for a knowledgeable coding professional who enjoys going beyond traditional coding responsibilities to educate providers, improve documentation practices, and make a meaningful impact across a healthcare organization.

• Job Title:
  
  Professional Billing Coding and Documentation Educator
• Location:
  
  Newark, CA (Remote – Candidates must reside within 50 miles of the Newark area due to travel and operational requirements.)
• Employment Type:
  
  Full-Time (Direct Hire)
• Pay Range: $44.57–$57.94 per hour, based on experience, qualifications, and internal equity.

We are seeking an experienced medical coding and documentation professional to support a leading Bay Area healthcare organization focused on physician education, professional billing accuracy, regulatory compliance, and documentation excellence. This role is highly collaborative and education-focused. It is not a traditional production-only coding position. The ideal candidate will bring strong knowledge of professional-fee coding, coding audits, HCC risk adjustment, and documentation requirements, along with the ability to communicate complex coding concepts clearly to physicians and clinical teams.

• Conduct professional billing coding and documentation reviews to evaluate accuracy, completeness, and compliance with applicable guidelines.
• Identify coding discrepancies, documentation deficiencies, and opportunities for improvement.
• Provide education and guidance to physicians and clinical teams on ICD-10, CPT, HCPCS, and professional billing requirements.
• Deliver individualized provider education, coding presentations, and specialty-specific training sessions.
• Support provider onboarding through coding and documentation education.
• Educate providers on HCC risk adjustment principles, diagnosis capture and recapture, suspect conditions, and M.E.A.T. documentation criteria.
• Review documentation practices to help ensure coding is supported by appropriate clinical information and medical necessity.
• Communicate audit findings and coding recommendations clearly and constructively to physicians and other stakeholders.
• Develop educational materials, presentations, and written coding guidance, including contributions to the monthly Coding Corner newsletter.
• Provide coding and documentation education support within the Epic electronic medical record environment.
• Collaborate with coding, reimbursement, operational, and compliance teams to address documentation concerns and promote consistent coding practices.
• Support ongoing quality improvement initiatives related to physician documentation, coding accuracy, and regulatory compliance.
• Stay current with coding guidelines, payer requirements, regulatory updates, and risk adjustment best practices.

• High school diploma or GED.
• Minimum four years of work experience in a healthcare setting with knowledge of regulatory billing/coding guidelines and risk adjustment regulatory guidelines.
• Certified Professional Medical Auditor (CPMA) – Required.
• Certified Risk Adjustment Coder (CRC) – Required.
• Certified Professional Coder (CPC) OR Certified Coding Specialist (CCS) – Required.
• Strong understanding of medical coding principles, documentation requirements, and regulatory compliance.
• Ability to communicate technical coding information effectively to physicians and clinical teams.
• Strong analytical, organizational, written communication, and interpersonal skills.
• Ability to work collaboratively with clinical and operational stakeholders.
• Must reside within 50 miles of Newark, CA.
• Ability to meet the position's approximately 10% travel requirement.

• Candidates must hold CPMA + CRC + either CPC or CCS. All three credentials in this combination are mandatory.

• Bachelor's degree.
• Five years of multi-specialty physician coding experience within an electronic medical record (EMR) environment.

We're looking for a knowledgeable, detail-oriented coding professional who combines technical expertise with a genuine ability to educate and collaborate with healthcare providers. Ideal candidates will demonstrate:

• Confidence explaining coding and…