Overview
American Physiatry is a growing healthcare organization providing physician and advanced practice provider services in skilled nursing and post-acute care facilities.
We are seeking an experienced Certified Medical Coding Auditor and Provider Educator to strengthen the accuracy, consistency, and compliance of our clinical documentation and professional coding.
This is a full-time remote position. The primary focus of the role is conducting coding and documentation audits, educating physicians and nurse practitioners, identifying compliance risks, and helping providers improve their documentation practices. The position will also include coding and coding-review responsibilities as needed.
The ideal candidate has a strong background in professional E&M coding, provider education, Medicare Part B billing, and coding compliance. Experience with E&M services in skilled nursing facilities, nursing homes, or other post-acute care settings is strongly preferred.
Responsibilities
Perform coding and documentation audits of physician and nurse practitioner medical records
Review E&M code selection, ICD-10-CM diagnoses, modifiers, medical necessity, and supporting documentation
Evaluate whether documentation supports the level and type of service billed
Identify undercoding, overcoding, documentation deficiencies, missed coding opportunities, and compliance risks
Provide clear, practical, and constructive feedback to physicians and advanced practice providers
Conduct individual and group provider education sessions
Develop coding guidance, provider education materials, audit summaries, and corrective-action recommendations
Create spreadsheets and reports summarizing audit findings and documentation trends
Perform follow-up audits to measure provider improvement and continued compliance
Track recurring coding and documentation issues across providers and facilities
Assist providers, coding staff, billing staff, clinical leadership, and revenue-cycle teams with coding and documentation questions
Clarify complex coding discrepancies and recommend appropriate resolutions
Perform coding or coding corrections when issues are identified
Support timely and accurate billing by resolving coding and documentation issues
Help develop and maintain internal coding, auditing, and documentation policies
Assist with internal compliance reviews and external audit responses
Meet established quality, productivity, and turnaround-time expectations
Stay current with CPT, ICD-10-CM, CMS, Medicare, and Office of Inspector General guidance
Escalate material coding, documentation, or compliance concerns to leadership
Participate in special projects and other responsibilities as assigned
Required Qualifications
Active Certified Professional Coder certification
Experience with physician or professional-fee coding
Strong knowledge of E&M coding and documentation guidelines
Experience reviewing physician or advanced practice provider documentation
Thorough knowledge of CPT, ICD-10-CM, modifiers, medical necessity, and Medicare billing requirements
Strong analytical, auditing, and problem-solving skills
Ability to clearly explain coding and documentation requirements
Excellent written and verbal communication skills
Ability to communicate professionally with physicians, nurse practitioners, management, and billing teams
Strong spreadsheet, reporting, and computer skills
Ability to work independently and manage multiple priorities in a remote environment
Strong attention to detail and sound professional judgment
Preferred Qualifications
Experience conducting coding or documentation audits
Experience educating physicians or advanced practice providers
Skilled nursing facility, nursing home, long-term care, or post-acute coding experience
Experience with initial, subsequent, and discharge nursing facility E&M services
Medicare Part B professional billing experience
Experience in physiatry, rehabilitation, pain management, musculoskeletal care, or a related specialty
Certified Professional Medical Auditor certification
Certified Documentation Expert–Outpatient certification
Certified Coding Specialist–Physician-based certification
Certified in Healthcare Compliance certification
Registered Health Information Administrator or Registered Health Information Technician credential
Associate’s degree or higher
Candidates who do not currently hold a CPMA certification may be encouraged to obtain it after hire.
What Success Looks Like
Provider documentation and coding accuracy improve over time
Providers receive clear, practical, and actionable education
Compliance and reimbursement risks are identified early
Recurring documentation and coding issues are reduced
Services are coded appropriately and supported by the medical record
Audit findings are tracked and translated into measurable improvement
Strong working relationships are built with providers, clinical leaders, coding teams, and billing staff
Audits are conducted consistently, objectively, and professionally
Position Details
Position: Certified Medical Coding Auditor & Provider Educator
Employment Type: Full-Time
Location: Toms River, NJ
To apply, please submit your resume and include a brief summary of your experience with E&M coding, provider education, documentation audits, Medicare Part B billing, and skilled nursing or post-acute care.