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Compliance Educator
Sound Physicians. Develop and deliver coding, documentation, and compliance education to providers and clinical leadership across assigned service lines .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding compliance education, regulatory guidance interpretation, and audit analysis, with a strong ability to develop educational materials and facilitate training sessions for clinical leadership and providers. Proficient in applying CPT, ICD-10-CM, and HCPCS coding standards while maintaining compliance with CMS requirements.
Highest-signal resume keywords
Active Coding Credential (CPC, CCS, CCS-P, COC, RHIT, RHIA)Advanced Knowledge of CPT, ICD-10-CM, HCPCSExperience in Coding Compliance AuditingStrong Presentation and Facilitation SkillsProficiency with Microsoft 365 Applications
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding Compliance EducationRegulatory Guidance InterpretationAudit AnalysisCPT CodingICD-10-CM CodingHCPCS CodingDocumentation RequirementsBilling RequirementsEducational Content DevelopmentData Analysis
Soft Skills
Strong Written CommunicationIndependent JudgmentAbility to Manage Competing PrioritiesCollaborationFacilitation Skills
Certifications & Qualifications
CPCCCSCCS-PCOCRHITRHIA
Industry Keywords
CMS RequirementsComplianceAudit FindingsProvider EducationClinical LeadershipHealthcare RegulationsCoding TrendsRisk AreasContinuing EducationProcess Improvement
About the role
Key responsibilities & impact- Develop and deliver coding, documentation, and compliance education to providers and clinical leadership across assigned service lines
- Translate audit findings, coding trends, regulatory changes, and identified risk areas into clear, practical education and guidance
- Respond to provider and clinical leadership questions regarding coding, documentation, billing, and compliance requirements
- Research, interpret, and apply authoritative coding and regulatory guidance, including CPT, ICD-10-CM, HCPCS, modifiers, CMS requirements, and applicable federal and state regulations
- Create and maintain educational materials, presentations, job aids, tip sheets, and other resources
- Prepare for and facilitate provider, site, and clinical leadership education sessions
- Partner with Compliance Audit to review audit findings, identify recurring trends, and determine education priorities
- Analyze audit and monitoring results to identify patterns, variations, emerging risks, and targeted education opportunities
- Support standardized education content across providers, sites, and service lines
- Collaborate with Compliance Audit, clinical leadership, Revenue Cycle, and other stakeholders to address concerns and support corrective actions
- Maintain current knowledge through continuing education and professional development
- Exercise independent judgment when addressing complex or sensitive coding and compliance matters
- Participate in department projects, process improvement initiatives, and other compliance activities
- Perform other duties as assigned
Requirements
What you’ll need- Active coding credential such as CPC, CCS, CCS-P, COC, RHIT, RHIA, or comparable credential required
- Minimum of 3 years of progressive professional coding compliance auditing or provider education experience required
- Experience researching and applying CMS and other authoritative coding and documentation guidance required
- Advanced knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and professional-fee coding
- Proficiency with Microsoft 365 applications
- Working knowledge of CMS documentation and billing requirements
- Ability to research, interpret, and clearly communicate authoritative regulatory and coding guidance
- Strong presentation and facilitation skills
- Ability to analyze audit data and identify recurring trends and education opportunities
- Ability to exercise independent judgment when addressing complex or sensitive provider questions
- Ability to manage competing priorities and independently manage assigned provider/site education
- Strong written communication and educational-content development skills
- Direct experience educating physicians, advanced practice providers, or clinical leadership strongly preferred
- Experience developing and presenting coding or compliance education preferred
- Bachelor’s degree in healthcare, business, education, or related field preferred; equivalent relevant experience may be considered
- Ability to maintain strict confidentiality of patient, provider, proprietary, and other sensitive information
Benefits
Comp & perks- Remote-first culture that values flexibility and collaboration
- Opportunities to grow your career while making a real impact
- Medical insurance
- Dental insurance
- Vision insurance
- Health care and dependent care flexible spending account
- 401(k) retirement savings plan with a company match
- Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year
- Ten company-paid holidays per year