Certified Medical Coding Auditor & Provider Educator

American Physiatry is a growing healthcare organization providing physician and advanced practice provider services in skilled nursing and post-acute care facilities.

We are seeking an experienced Certified Medical Coding Auditor and Provider Educator to strengthen the accuracy, consistency, and compliance of our clinical documentation and professional coding.

This is a full-time remote position. The primary focus of the role is conducting coding and documentation audits, educating physicians and nurse practitioners, identifying compliance risks, and helping providers improve their documentation practices. The position will also include coding and coding-review responsibilities as needed.

The ideal candidate has a strong background in professional E&M coding, provider education, Medicare Part B billing, and coding compliance. Experience with E&M services in skilled nursing facilities, nursing homes, or other post-acute care settings is strongly preferred.

• Perform coding and documentation audits of physician and nurse practitioner medical records

• Review E&M code selection, ICD-10-CM diagnoses, modifiers, medical necessity, and supporting documentation

• Evaluate whether documentation supports the level and type of service billed

• Identify undercoding, overcoding, documentation deficiencies, missed coding opportunities, and compliance risks

• Provide clear, practical, and constructive feedback to physicians and advanced practice providers

• Conduct individual and group provider education sessions

• Develop coding guidance, provider education materials, audit summaries, and corrective-action recommendations

• Create spreadsheets and reports summarizing audit findings and documentation trends

• Perform follow-up audits to measure provider improvement and continued compliance

• Track recurring coding and documentation issues across providers and facilities

• Assist providers, coding staff, billing staff, clinical leadership, and revenue-cycle teams with coding and documentation questions

• Clarify complex coding discrepancies and recommend appropriate resolutions

• Perform coding or coding corrections when issues are identified

• Support timely and accurate billing by resolving coding and documentation issues

• Help develop and maintain internal coding, auditing, and documentation policies

• Assist with internal compliance reviews and external audit responses

• Meet established quality, productivity, and turnaround-time expectations

• Stay current with CPT, ICD-10-CM, CMS, Medicare, and Office of Inspector General guidance

• Escalate material coding, documentation, or compliance concerns to leadership

• Participate in special projects and other responsibilities as assigned

• Active Certified Professional Coder certification

• Experience with physician or professional-fee coding

• Strong knowledge of E&M coding and documentation guidelines

• Experience reviewing physician or advanced practice provider documentation

• Thorough knowledge of CPT, ICD-10-CM, modifiers, medical necessity, and Medicare billing requirements

• Strong analytical, auditing, and problem-solving skills

• Ability to clearly explain coding and documentation requirements

• Excellent written and verbal communication skills

• Ability to communicate professionally with physicians, nurse practitioners, management, and billing teams

• Strong spreadsheet, reporting, and computer skills

• Ability to work independently and manage multiple priorities in a remote environment

• Strong attention to detail and sound professional judgment

• Experience conducting coding or documentation audits

• Experience educating physicians or advanced practice providers

• Skilled nursing facility, nursing home, long-term care, or post-acute coding experience

• Experience with initial, subsequent, and discharge nursing facility E&M services

• Medicare Part B professional billing experience

• Experience in physiatry, rehabilitation, pain management, musculoskeletal care, or a related specialty

• Certified Professional Medical Auditor certification

• Certified Documentation Expert–Outpatient certification

• Certified Coding Specialist–Physician-based certification

• Certified in Healthcare Compliance certification

• Registered Health Information Administrator or Registered Health Information Technician credential

• Associate’s degree or higher

Candidates who do not currently hold a CPMA certification may be encouraged to obtain it after hire.

• Provider documentation and coding accuracy improve over time

• Providers receive clear, practical, and actionable education

• Compliance and reimbursement risks are identified early

• Recurring documentation and coding issues are reduced

• Services are coded appropriately and supported by the medical record

• Audit findings are tracked and translated into measurable improvement

• Strong working relationships are built with providers, clinical leaders, coding teams, and billing staff

• Audits are conducted consistently, objectively, and professionally

Position: Certified Medical Coding Auditor & Provider Educator
Employment Type: Full-Time
Location: Toms River, NJ

To apply, please submit your resume and include a brief summary of your experience with E&M coding, provider education, documentation audits, Medicare Part B billing, and skilled nursing or post-acute care.