CODING AUDITOR/EDUCATION SPECIALIST, REV CYCLE MED GROUP

Description

Location: SGMC Patient Financial Services
Department: REVENUE CYCLE MEDICAL GROUP
Schedule: Full Time, 8 HR Day Shift, 8-5 on site

POSITION SUMMARY

**This position requires on-site presence at SGMC Health Main Campus. Remote work is not available for this role. 

The ideal candidate for the Professional Coding Auditor/Education Specialist role will be a Certified Professional Coder (CPC), with preference given to those holding a Certified Professional Medical Auditor (CPMA) or Certified Documentation Expert Outpatient (CDEO) certifications, although relevant experience may substitute for these credentials. The candidate must have a strong foundation in medical coding, including extensive knowledge of ICD-10, HCPCS, and CPT, along with expertise in multispecialty and complex coding, and experience in abstracting E/M and CPT codes. Proficiency in anatomy and physiology, medical terminology, and regulatory compliance related to medical coding and billing is essential. The individual should possess excellent analytical skills for conducting detailed audits, identifying trends and discrepancies, and preparing comprehensive reports. In addition to technical knowledge, the candidate must have exceptional written and verbal communication skills to educate healthcare providers, clarify documentation issues, and work collaboratively with revenue cycle teams. Experience in developing training materials, leading improvement projects, and utilizing Microsoft Office tools—especially Excel and Teams—is required. Strong time management, organizational abilities, and a commitment to continuous improvement through ongoing education are critical for success in this role. Previous experience in a medical office setting is preferred. 

KNOWLEDGE, SKILLS & ABILITIES

• Certified Professional Coder (CPC) Required. 
• Certified Professional Medical Auditor preferred, experience may substitute certification. 
• Experience in professional coding education, compliance documentation, and/or auditing preferred.
• High School graduate or equivalent. 
• Knowledge of anatomy and physiology, medical terminology, ICD-10, HCPCS, and CPT required. 
• Experience in abstracting E/M and CPT codes. Must have Multispecialty/Complex coding experience. 
• Good communication skills essential. 
• Medical Office setting experience preferred. 
• Time management skills. 
• Demonstrates initiative to provide quality of services and improve efficiencies. 
• Proficient in Microsoft Office, especially Excel and Teams. 

WORKING CONDITIONS - ADA INFORMATION

Substantial sitting and walking. Moderate standing. Moderate lifting (20+ pounds). Applicant may spend long hours working at computer terminal. Must be able to see and read names, numbers, and colors. The Coder is subject to high stress levels, managing competing priorities, and peaks and valleys in workload. Requires considerable mental effort and logical thought processing.