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Coding Compliance Educator medical codingdocumentation Remote
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Job Description
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Insight. Partnership. Purpose.
At Sound Physicians our shared services and business teams play a vital role in advancing our mission to improve healthcare outcomes. Whether youre in finance human resources marketing IT operations or talent acquisition your work supports the clinicians who care for patients in communities across the country. You bring strategic thinking operational excellence and a deep commitment to service-ensuring our organization runs smoothly grows responsibly and innovates with purpose. We are a remote-first national team united by technology collaboration and a shared sense of purpose. While our clinicians deliver care locally we stay connected and aligned-so they can focus on what matters most improving lives at the bedside.
Schedule Full Time
Work Arrangement Remote
Salary 75000 - 95000
Success Profile
What makes a successful Coding Compliance Educator medical codingdocumentation Check out the traits were looking for and see if you have the right mix.
Customer-Focused
Collaborative
Resourceful
Self-Starter
Compassionate
Curious
Coding Compliance Educator medical codingdocumentation
Remote
ATS UKG
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Category Compliance
About Sound
Founded in 2001 and headquartered in Nashville TN Sound Physicians is a nationally respected physician-led medical group practicing in 400 hospitals across 45 states. Our team of 4000 clinicians and 1000 business professionals across the country is united by one mission to build exceptional clinical partnerships that unlock quality affordable dignified care for everyone - no matter who they are or where they live. With physician-led clinical teams and more than two decades of operational expertise weve refined what it takes to consistently deliver exceptional care in hospital medicine emergency medicine critical care anesthesia and telemedicine.
Why join us
A remote-first culture that values flexibility and collaboration
Opportunities to grow your career while making a real impact
A team that champions inclusivity innovation and excellence
Whether working virtually or onsite at one of our practices youll be part of a purpose-driven organization shaping the future of healthcare.
Sound Physicians offers a competitive benefits package inclusive of the items below and more
Medical insurance Dental insurance and Vision insurance
Health care and dependent care flexible spending account
401k retirement savings plan with a company match
Paid time off PTO begins accruing immediately upon start date at a rate of 15 days per year in accordance with Sounds PTO policy
Ten company-paid holidays per year
About the Role
The Coding Compliance Educator works under the supervision of the Director of Compliance Audit to ensure coding and documentation guidance is consistent across the organization. The Coding Compliance Educator is responsible for managing and responding to provider inquiries. The Coding Compliance Educator will work very closely with providers and clinical leadership to provide education regarding compliance with guidelines and best practices. The Coding Compliance Educator will present at clinical leadership meetings upon request.
Essential Duties and Responsibilities
Excellent communication skills and ability to build strong relationships with clinical leadership and providers in a non-punitive manner.
Preparation and creation of presentations for meetings with providers and clinical leadership
Strong preparation skills during meetings.
Trains providers and clinical leadership on coding guidelines ensuring compliance with clinical documentation coding guidelines MDM acuity ICD10 and coding industry standards and best practices.
Assist Director of Compliance Audit with creation of job aids to describe coding rules for specialties including Critical Care Hospital Medicine and Telehealth.
Review and analyze new CPT coding guidelines and create education material annually or as needed based on changes.
Reviews audit results with the auditing team to identify and analyze trends and recommends and implements appropriate education.
Schedule regular site meetings with all providers and clinical leadership to provide coding and clinical documentation improvement to improve coding accuracy.
Manage and respond timely to provider inquiries.
Assist the Director of Coding Compliance with maintaining a formalized review process that incorporates regular audits provider coding ensure documentation adequacy and coordinates ongoing monitoring with education to the provider.
Works with auditors and conducts trend analyses to identify patterns variations in coding practices and case-mix index including areas of risk and compares coding profiles with national norms.
Develops and coordinates educational and training programs regarding elements of the coding compliance program such as appropriate documentation accurate coding data compatibility consistency and monitoring for compliance to improve the quality of clinical data supported.
Provides feedback and focused educational programs based on the results of auditing and monitoring activities to affected providers and clinical leadership.
Collaborates with the Director of Coding Compliance to initiate corrective action plans including the Administrative Good Standing status.
Demonstrates up-to-date knowledge of healthcare regulatory coding mandates and OIG work plan.
Analyze audits and RA findings.
Prepares information for Board meetings upon request.
Attends coding conferences workshops and in-house sessions to receive updated coding information and changes in coding andor regulations.
Performs miscellaneous job-related duties as assigned.
Ensures strict confidentiality of patient confidential and proprietary information.
Values
Self-motivation Proactively jumps in to start a task or project with limited direction asks to take on more responsibility and whats next.
Likes people Genuinely enjoys engaging with and helping others feels a sense of accomplishment through helping and working with other people.
Adaptability Demonstrates flexibility and a willingness to change as circumstances evolve.
Team Player Proactively seek to work with others to accomplish a common goal. Willingness to share challenges and successes with others.
Resourcefulness Proactive willingness to utilize available information and tools to figure things out.
Knowledge Skills and Abilities
Ability to clearly communicate with providers and clinical leadership
Strong knowledge of Post Acute auditing concepts and principles
Knowledge and understanding of professional fee coding CPT and ICD 10 physician group practice revenue cycle processes and regulatory compliance issues related to billing and coding documentation standards and third-party payer processes
Strong written and verbal communication and interpersonal skills
Ability to work independently to analyze and solve problems
Ability to use independent judgment and to manage and impart confidential information
Ability to adapt modify and prioritize audit functions as required
Education and Experience
Bachelors degree in a health sciences discipline business or related field desired.
3 years of experience in coding compliance preferably with a focus on auditing or education in hospital or physician practice billing and coding operations or compliance.
Coding Certification required Any of CPC CPC-H CCS CCS-P
Salary Range
75000 - 95000 annually. Exact pay will be determined based on candidate experience geographical location and sizecomplexity of the program being supported.
Sound Physicians is an Equal Employment Opportunity EEO employer and is committed to diversity equity and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race color religion sex national origin gender identity sexual orientation age marital status veteran status disability status or any other characteristic protected by federal state or local laws.
This job description reflects the present requirements of the position. As duties and responsibilities change and develop the job description will be reviewed and subject to amendment.
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Your role as a Care Catalyst
We Lead with Purpose
You help clinicians focus on care by managing the essential business functions that keep our organization running-whether its recruiting top talent ensuring accurate billing streamlining credentialing supporting learning and development or enabling technology. Your work behind the scenes powers our mission and drives operational excellence.
We Build Meaningful Connections
You collaborate across shared services teams and with clinical partners to deliver seamless support. Whether youre designing a campaign processing claims onboarding a new clinician or enhancing internal systems your work builds trust and enables success.
We Support Care Nationwide and Locally
As a remote-first national team you provide centralized support that empowers clinicians to deliver care in their local communities. Through technology communication and shared purpose we stay connected and responsive to the needs of those on the front lines.
We Grow Together
You develop specialized expertise strengthen cross-functional partnerships and make a lasting impact. Because investing in our people-whether clinical or corporate-is how we deliver uncompromising care.
Hear from our team
As an employee of Sound Physicians for over 10 years what I truly enjoy is the people and the culture. Theres a strong sense of trust and collaboration and I feel genuinely supported as a colleague. Leadership is approachable ideas are welcomed and theres a real focus on growth and development. Its rewarding to work for an organization that invests in its people and stays true to its mission. Im proud of the work we do and the team I get to do it with."
Amber Dean Senior Staffing Manager
What drew me to Sound is simple business leaders here actually make an impact. Were solving real problems strengthening infrastructure and shaping how care is delivered. Its energizing to know the work you do on the business side genuinely helps clinicians and patients every day."
Courtney Reun Vice President Talent Attraction & Experience
Rewards
Remote first environment
Work-Life Balance
Medical Dental and Vision Insurance
Lifestyle Spending Account
401K with company match
Paid time off starting with 15 days off 10 company-paid holidays
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