Southeast Medical Group · 2 months ago
Coding Auditor/Educator
Alpharetta, GA
Full-time
Onsite
Mid Level
3+ years expSoutheast Medical Group is seeking a detail-oriented Provider/Coding Auditor Educator to support accurate and compliant coding practices across their provider network. This role involves performing audits of medical documentation and coding, educating providers on best practices, and ensuring adherence to industry guidelines and payer regulations.
Health CareMedical
Responsibilities
Conduct prospective, concurrent, and retrospective coding audits for professional and/or facility services
Review medical documentation to ensure codes assigned (ICD-10-CM, CPT, HCPCS) are supported and meet regulatory and payer guidelines
Deliver coding and documentation education to providers through individual coaching, team sessions, and formal training presentations—both virtually and in person
Develop educational tools such as tip sheets, coding guides, and compliance reference materials
Identify trends in audit findings and provide feedback to leadership to guide quality improvement initiatives
Serve as a subject matter expert (SME) on coding policies, E/M documentation, and payer regulations
Support new provider onboarding and orientation with training on coding expectations and documentation standards
Collaborate with compliance, revenue cycle, and clinical operations teams to improve accuracy in coding and billing
Assist in the development and revision of policies, procedures, and training programs related to coding and documentation compliance
Maintain up-to-date knowledge of CMS guidelines, payer-specific rules, and industry coding updates
Qualification
Required
Associate or bachelor's degree in health information management, or a related healthcare field
Active coding certification required: CPC, CCS, or equivalent
Minimum of 3–5 years of experience in medical coding with direct auditing and provider education responsibilities
Proficient in Evaluation & Management (E/M) coding, outpatient and/or inpatient coding, and modifier usage
In-depth knowledge of CPT, ICD-10-CM, and HCPCS coding and official coding guidelines
Strong communication and presentation skills with the ability to explain complex coding topics in an understandable way
High level of professionalism and discretion when delivering feedback
Ability to analyze trends and provide data-driven recommendations
Proficiency in Microsoft Office tools (Excel, PowerPoint, Word)
Self-motivated and able to work independently and as part of a collaborative team
Flexible and adaptable to changing priorities and regulations
Willingness and ability to travel up to 25–40%, including occasional overnight stays for onsite education or audit support
Ability to lift up to 50 pounds
Ability to push or pull heavy objects using up to 50 pounds of force
Ability to sit or stand for extended periods during training sessions or on-site support
Ability to use fine motor skills to operate office equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to apply logical reasoning for simple and complex problem-solving
Ability to travel to multiple locations as required to support business needs
Preferred
CPMA (Certified Professional Medical Auditor) strongly preferred or must be obtained within 6 months of hire
Additional certifications (e.g., CRC, CCS-P, CDEO) are a plus
Prior experience using EMR/EHR systems and audit tools, or similar platforms
Experience in developing and delivering provider education in both individual and group settings
Company
Southeast Medical Group
Southeast Medical Group offers primary care services, with a team of highly skilled physicians.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Rod Rusyniak
CFO
Company data provided by crunchbase