CPMA Educator, Auditor

Presbyterian Healthcare Services

. Support implementation of and compliance with enterprise-wide and department coding policies and procedures .

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

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in coding compliance, auditing, and clinical documentation standards, with a strong focus on training and corrective action plans. Proficient in medical terminology and regulations related to Medicare and Medicaid, ensuring accurate billing and documentation.

Highest-signal resume keywords

Coding ComplianceClinical Documentation StandardsMedical TerminologyAuditing ExperienceTraining and Education

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

ICD-9CPT-4HCPCSCoding PoliciesBilling RegulationsAudit ManagementCorrective Action PlansData AnalysisMedical Record AuditingCompliance Monitoring

Soft Skills

CommunicationProblem-SolvingInterpersonal SkillsAttention to DetailOrganizational Skills

Tools & Technologies

EPIC EMRMicrosoft WordMicrosoft PowerPointMicrosoft Excel

Certifications & Qualifications

RN Preferred

Industry Keywords

Healthcare ComplianceClinical CodingInternal AuditsExternal AuditsPayer Documentation

About the role

Key responsibilities & impact

Support implementation of and compliance with enterprise-wide and department coding policies and procedures
Perform and manage internal audits and reviews to assess coding, documentation, billing, and clinical coding compliance
Track internal audit results for PHS
Provide enterprise-wide training for coding, audit, physician, and clinician personnel
Support corrective action plans through auditing and training
Audit medical records and billing for accuracy; identify discrepancies and recommend actions
Respond to and conduct medical record reviews requested by external regulatory agencies and insurance companies
Serve as liaison to Information Services, Finance/Patient Financial Services, hospitals, medical group sites, health plan, home health, ambulance, compliance, and ancillary departments
Maintain current knowledge of clinical documentation standards and legal/regulatory requirements
Research coding, billing, and charging compliance issues; recommend and implement corrective action plans
Assist with the CDQA Annual Audit Work-plan
Respond to daily coding and auditing inquiries and perform ad-hoc analysis for management
Maintain working knowledge of PHS coding and auditing IT applications
Gather and analyze information and provide recommendations
Conduct coding, documentation, and compliance training, including EPIC EMR clinical documentation education
Assist with external defense audits
Conduct focused internal medical-record audits for correct coding, billing, and charging
Analyze and communicate audit results and findings to management
Investigate patient-care and billing concerns
Monitor reports and quality audits to ensure clinical coding functions meet standards

Requirements

What you’ll need

Associates degree required; 3 years of additional clinical healthcare related experience can be substituted in lieu of degree
2 years clinical healthcare related experience
RN and audit experience preferred
Medical terminology, ICD-9, CPT-4 and HCPCS knowledge required
Proficient knowledge of Medicare, Medicaid, and other third party payer documentation, coding, and billing regulations for assigned service lines
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 benefits
short-term and long-term disability insurance
group term life insurance
optional voluntary benefits
Employee Wellness rewards program
Gift cards and other rewards for participating in wellness activities