Coding Educator

Description

The Coding Educator supports organizational compliance and documentation accuracy through structured education, auditing, and coaching of providers and revenue cycle staff. This role designs and delivers training programs for physicians and non-physician providers to ensure adherence to state and federal coding regulations. The educator conducts quality assurance audits, analyzes coding trends, and serves as a subject matter expert to resolve complex coding and documentation questions.

Accurate coding and compliant documentation support appropriate reimbursement and mitigate audit risk

• Develop and deliver coding education programs, webinars, and training materials for providers and staff.
• Educate physicians and staff on documentation standards to improve coding accuracy and compliance.
• Stay current with coding, regulatory, and payer guideline changes; communicate updates in a timely manner.
• Serve as a coding resource by researching issues and responding to inquiries from coders, providers, and staff.
• Conduct quality assurance coding audits and analyze results to identify trends and educational opportunities.
• Create and conduct training sessions (live, virtual, and on-demand) on billing and coding rules, modifiers, and payer guidelines.
• Review and prepare documentation for payer or external audit requests; track and document audit activity through resolution.
• Develop curricula and training handbooks for providers, front desk teams, and RCM staff.
• Perform post-training quality reviews to assess comprehension and effectiveness.
• Participate in coding, compliance, and reimbursement meetings.
• Perform periodic, risk-based chart audits and provide written feedback of documentation and coding accuracy.
• Design educational materials on anatomy, medical terminology, coding guidelines, and payer rules.

• Current certification in ophthalmic (preferred) or professional medical coding (e.g. COE, CPC, CCS) with a minimum of three (3) years of coding experience.
• Three to five years in insurance billing required.