Physician Coding Educator
Physician Coding Educator
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Job Description
Job Title: Physician Coding Educator
Company Overview:
Pulivarthi Group is a premier global provider of staffing and IT technology solutions renowned for delivering exceptional services tailored to each clients unique needs. With a steadfast commitment to excellence we merge expertise with innovation ensuring cost-effective solutions of the highest quality. Our diverse client base spans healthcare finance government and beyond reflecting our adaptability and proficiency across industries. Operating in the United States Canada and Mexico we pride ourselves on aligning with clients cultures deploying top-tier talent and utilizing cutting-edge technologies. Pulivarthi Group stands as a beacon of reliability efficiency and innovation in the realm of staffing solutions.
Job Overview/Summary:
We are seeking a detail-oriented and experienced Physician Coding Educator to support coding accuracy compliance and education initiatives across healthcare provider groups. The ideal candidate will have recent hands-on experience with professional (Profee) evaluation and management (E/M) coding in Family Practice Internal Medicine and/or Risk Adjustment environments. This position will ensure coding integrity while educating providers and coders in accordance with current guidelines and standards.
Key Responsibilities:
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Educate providers and coders on proper E/M coding practices based on clinical documentation
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Review coding quality and provide feedback to improve accuracy and compliance
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Support auditing efforts to ensure documentation supports submitted codes
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Serve as a subject matter expert on coding regulations payer requirements and Risk Adjustment methodologies
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Stay current on regulatory updates including CMS and payer coding guideline changes
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Collaborate with cross-functional teams to develop and implement coding training tools and educational resources
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Provide 1:1 or group educational sessions and workshops as needed
Primary Skills:
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Extensive experience in professional fee (Profee) coding for Family Practice Internal Medicine and/or Risk Adjustment
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Strong understanding of CPT ICD-10-CM and HCC coding
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Knowledge of current CMS and payer-specific coding guidelines
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Ability to interpret and apply clinical documentation to accurate code assignment
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Strong communication and presentation skills for both individual and group education
Secondary Skills (Good to Have):
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Familiarity with EMR/EHR systems and coding platforms
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Knowledge of HEDIS STAR and quality reporting programs
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Previous experience in auditing or compliance roles
Qualifications:
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Bachelors Degree or equivalent experience
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Minimum of 5 years of recent Profee E/M coding experience in relevant specialties (Family Practice Internal Medicine Risk Adjustment)
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Current coding certification through AAPC (e.g. CPC CRC) or AHIMA (e.g. CCS RHIA RHIT) - certification number must be provided
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Strong attention to detail and high level of coding accuracy
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Excellent written and verbal communication skills
Benefits/Perks:
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Competitive compensation
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Flexible remote work (if applicable)
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Continuing education and certification support
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Professional development and advancement opportunities
Equal Opportunity Statement:
Pulivarthi Group is proud to be an equal opportunity employer. We are committed to building a diverse and inclusive culture and celebrate authenticity. We do not discriminate on the basis of race religion color national origin gender gender identity sexual orientation age marital status disability protected veteran status or any other legally protected characteristics.
Employment Type
Full-time
