Physician Practice E&M Auditor, Educator

Baptist Health

E&M Auditor/Educator managing coding audits and providing educational resources for Baptist Health. Ensuring accurate documentation and compliance in the billing process for physician services.

Posted 7/28/2026full-timeRemote • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $26 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in E&M Coding and Auditing, with a strong focus on compliance with federal guidelines and the development of educational resources for providers. Proficient in ICD10CM, CPT, and HCPCS coding, with a commitment to delivering high-quality coding education and maintaining documentation integrity.

Highest-signal resume keywords

CIRCC CertificationE&M Coding ExperienceAHIMA Certified Coding SpecialistAAPC Certified Professional CoderStrong Knowledge of E&M Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

E&M CodingICD10CM CodingCPT CodingHCPCS CodingData AbstractionDocumentation ReviewCoding Education DevelopmentAudit ComplianceReimbursement AnalysisMedical Necessity Evaluation

Soft Skills

Organizational SkillsAttention to DetailCustomer ServiceIndependent WorkCommunication Skills

Tools & Technologies

Microsoft OfficeReport Generation Tools

Certifications & Qualifications

CIRCC CertificationCPC CertificationCCS-P CertificationCPMA Certification

Industry Keywords

Coding ComplianceRevenue CyclePhysician CodingInterventional ProceduresCMS Documentation Guidelines

About the role

Key responsibilities & impact

E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed.
Audits consist of evaluation of the accuracy of documentation, including E/M and other payer codes, medical necessity, reimbursement overpayments and underpayments, and compliance with other documentation standards.
Researches and applies all federal guidelines & compliance with the overall audit delivery.
Develops and executes provider comprehensive educational opportunities/curriculums (coding resources, materials, tools, webinars, campaigns, etc.) based on audit results, noted trends & changes within coding compliance and regulatory guidelines, while supporting organizational compliance models.
Leads provider’s education events to discuss overall audit results overview, identifying trends and action plans.
Provides support or project management for any other related audit and coding initiatives and assist in other related responsibilities as required by executive leadership team.
Establishes positive working relationships as the subject matter expert with all parties to provide input on risk and ensure a sustained understanding of federal coding compliance requirements.

Requirements

What you’ll need

CIRCC (Certified Interventional Radiology Cardiovascular Coder) certification by the AAPC
Experience coding interventional procedures (Cardiac Cath, EP-Electrophysiology, IVR-Interventional Radiology, IVN-Interventional Neuro)
High School, Cert, GED, Trn, Exper.
AHIMA Certified Coding Specialist-Physician-based.
AAPC Certified Professional Coder.
AAPC Certified Professional Medical Auditor.
CIRCC Certification preferred.
Prior Physician Coding & Auditing, Revenue Cycle or billing related to Coding.
Upon Hire, CPC-Certified Professional Coder and/or CCS-P-Certified Coding Specialist-Physician required.
CPMA-Certified Professional Medical Auditor upon hire or must be completed within 1 year.
Overall experience to include at least 2 years of professional E&M coding experience and 2 years of E&M provider education experience.
Strong knowledge of E&M regulations and CMS Documentation Guidelines.
Successful experience with data abstraction and analyze patient encounters for a focused review sample and development of comprehensive coding education materials and resources.
Proficient in ICD10CM, CPT and HCPCS coding, policy and procedures based on physician practices.
Strong organizational skills and attention to detail.
Ability to prioritize provider medical record reviews/projects and provider coding education opportunities with alignment with audits and overall trends.
Work independently with little or no supervision.
Ability to provide excellent customer service.
Excellent computer skills and proficient in Microsoft Office and generating reports.

Benefits

Comp & perks

Career growth and development opportunities, with clear pathways and ongoing support
Comprehensive health and wellness resources that go beyond traditional benefits
A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
Tuition reimbursement to support continued learning and advancement
And so much more