Southeast Primary Care Partners · 2 months ago
Coding Auditor/Educator
Alpharetta, GA
Full-time
Onsite
Mid Level
3+ years expSoutheast Primary Care Partners is seeking a detail-oriented and knowledgeable Provider/Coding Auditor Educator to support accurate and compliant coding practices across their provider network. The role involves performing audits of medical documentation and coding, educating providers on best practices, and ensuring adherence to industry guidelines and payer regulations.
Health CareMedicalPrimary and Urgent CareWellness
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
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
Experience in developing and delivering provider education in both individual and group settings
Prior experience using EMR/EHR systems and audit tools, or similar platforms
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
Associate or bachelor's degree in health information management, or a related healthcare field
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
Company
Southeast Primary Care Partners
SPCP partners with primary care providers to expand access to high-quality care and to improve the health of the communities they serve.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2021-04-08Private Equity
Leadership Team
Josh Dahl
Chief Financial Officer
Joe Felger ITIL, PMP, CISO
Vice President/CIO Information Technology, CISO
Recent News
Atlanta Business Chronicle
2025-03-07
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