CPMA Educator, Auditor

Presbyterian Healthcare Services

. Support Coding and Documentation Quality Assurance (CDQA) team responsibilities with minimal supervision .

Posted 10/27/2026full-timeSanta Fe • New Mexico • United StatesJuniorMid-Level💰 $60,986 - $103,813 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical coding compliance, including knowledge of ICD-9, CPT-4, and HCPCS, while ensuring adherence to regulatory standards and conducting comprehensive audits. Proficient in training personnel on coding practices and maintaining compliance with Medicare and Medicaid regulations.

Highest-signal resume keywords

Clinical Coding ComplianceICD-9, CPT-4, HCPCS KnowledgeMedicare and Medicaid RegulationsAudit ExperienceTraining and Education

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical CodingMedical TerminologyCompliance AuditingQuality AssuranceCorrective Action PlansInternal AuditsMedical-Record ReviewCoding PoliciesRegulatory ComplianceBilling Accuracy

Soft Skills

CommunicationAnalytical ThinkingProblem-SolvingCollaborationTraining Skills

Tools & Technologies

Microsoft WordMicrosoft PowerPointMicrosoft ExcelEPIC EMR

Certifications & Qualifications

Associate DegreeRN Preferred

Industry Keywords

Healthcare ComplianceCoding StandardsBilling RegulationsThird-Party Payer DocumentationClinical Documentation Standards

About the role

Key responsibilities & impact

Support Coding and Documentation Quality Assurance (CDQA) team responsibilities with minimal supervision
Implement and ensure compliance with enterprise-wide and department coding policies and procedures
Perform and manage internal audits and reviews for compliance and quality monitoring
Track internal audit results across PHS
Provide enterprise-wide training for coding, audit, physician, and clinician personnel
Audit and train corrective action plans for low performers
Conduct defensive and proactive medical-record audits for coding and billing accuracy
Respond to and conduct medical-record reviews requested by regulatory agencies and insurance companies
Work on clinical coding compliance projects and disseminate regulatory information
Liaise with information services, finance, patient financial services, hospitals, medical group sites, compliance, and ancillary departments
Maintain current knowledge of clinical documentation standards, legal and regulatory requirements, and coding updates
Research coding, billing, and charging compliance issues and recommend corrective action plans
Assist with the CDQA Annual Audit Work-plan
Respond to coding and auditing inquiries and perform ad-hoc analyses for management
Conduct coding, documentation, and compliance training, including EPIC EMR clinical documentation education
Assist with external defense audits
Conduct focused internal audits through medical-record review
Analyze and communicate audit findings to management
Investigate patient-care and billing concerns
Monitor reports and quality audits to ensure coding functions meet established standards

Requirements

What you’ll need

Associate degree required; 3 years of additional clinical healthcare-related experience may be substituted in lieu of degree
2 years of clinical healthcare-related experience
RN and audit experience preferred
Knowledge of medical terminology, ICD-9, CPT-4, and HCPCS required
Proficient knowledge of Medicare, Medicaid, and other third-party payer documentation, coding, and billing regulations
Computer skills, especially Microsoft Word, PowerPoint, and Excel
Must be able to travel to all PHS sites, including overnight travel
Working hours may vary based on assigned projects

Benefits

Comp & perks

Medical, dental, and vision insurance
Short-term and long-term disability insurance
Group term life insurance
Optional voluntary benefits
Employee Wellness rewards program with gift cards and wellness activities