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Physician Practice E&M Auditor, Educator
Baptist Health. Perform comprehensive audits to determine integrity of coding/billing for physician and clinical fees.
Posted 10/16/2026full-timeRemote • Florida • United StatesMid-LevelSenior💰 $27 - $35 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in E&M coding, auditing, and compliance, with a strong focus on provider education and documentation accuracy. Proficient in ICD10CM, CPT, and HCPCS coding, ensuring adherence to federal guidelines and best practices.
Highest-signal resume keywords
AAPC Certified Professional Medical AuditorAHIMA Certified Coding Specialist-Physician-BasedCPC-Certified Professional CoderE&M Coding ExperienceStrong Knowledge of E&M Regulations
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
E&M CodingICD10CM CodingCPT CodingHCPCS CodingData AbstractionDocumentation ComplianceCoding Education DevelopmentAudit ExecutionReimbursement AnalysisRisk Compliance
Soft Skills
Strong Organizational SkillsAttention to DetailExcellent Customer ServiceAbility to Work IndependentlyEffective Communication
Tools & Technologies
Microsoft OfficeReport Generation Tools
Certifications & Qualifications
AAPC Certified Professional Medical AuditorAHIMA Certified Coding Specialist-Physician-BasedAAPC Certified Professional CoderCPC-Certified Professional CoderCPMA-Certified Professional Medical Auditor
Industry Keywords
Coding ComplianceRevenue Cycle ManagementMedical NecessityDocumentation StandardsProvider EducationFederal GuidelinesAudit TrendsCoding ResourcesBilling ErrorsReimbursement Overpayments
About the role
Key responsibilities & impact- Perform comprehensive audits to determine integrity of coding/billing for physician and clinical fees.
- Detect and correct documentation, coding/billing errors, medical necessity issues, and reimbursement overpayments or underpayments.
- Evaluate documentation accuracy, including E/M and other payer codes, medical necessity, and compliance with documentation standards.
- Research and apply federal guidelines and compliance requirements to audit delivery.
- Develop and execute provider education opportunities and curricula, including coding resources, materials, tools, webinars, and campaigns.
- Base education on audit results, identified trends, and changes in coding compliance and regulatory guidelines.
- Lead provider education events covering audit results, trends, and action plans.
- Provide support or project management for related audit and coding initiatives.
- Establish positive working relationships as the subject matter expert and provide input on risk and federal coding compliance requirements.
Requirements
What you’ll need- High School, Cert, GED, Trn, Exper.
- AAPC Certified Professional Medical Auditor.
- AHIMA Certified Coding Specialist-Physician-based.
- AAPC Certified Professional Coder.
- Prior Physician Coding & Auditing, Revenue Cycle or billing related to Coding.
- Upon Hire, CPC-Certified Professional Coder and/or CCS-P-Certified Coding Specialist-Physician required.
- CPMA-Certified Professional Medical Auditor upon hire or must be completed within 1 year.
- Overall experience to include at least 2 years of professional E&M coding experience and 2 years of E&M provider education experience.
- Strong knowledge of E&M regulations and CMS Documentation Guidelines.
- Successful experience with data abstraction and analyze patient encounters for a focused review sample and development of comprehensive coding education materials and resources.
- Proficient in ICD10CM, CPT and HCPCS coding, policy and procedures based on physician practices.
- Strong organizational skills and attention to detail.
- Ability to prioritize provider medical record reviews/projects and provider coding education opportunities with alignment with audits and overall trends.
- Work independently with little or no supervision.
- Ability to provide excellent customer service.
- Excellent computer skills and proficient in Microsoft Office and generating reports.
- Minimum Required Experience: 4 Years
Benefits
Comp & perks- Career growth and development opportunities, with clear pathways and ongoing support
- Comprehensive health and wellness resources that go beyond traditional benefits
- A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
- Tuition reimbursement to support continued learning and advancement