CODING AUDITOR/EDUCATION SPECIALIST, REV CYCLE MED GROUP

SGMC Health; Valdosta (GA); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Low Healthcare Insurance Premiums

401(k) with employer match

Paid Time Off (PTO)

Employee discounts

Company paid life insurance

Short-Term and Long-Term Disability

Cancer Insurance

Accident Insurance

Pet Insurance

Tuition Reimbursement

On-the-job training and skills develop

Opportunities for growth and advance

Employee Assistance Program

Job summary

SGMC Health is seeking a Professional Coding Auditor/Education Specialist to join our Revenue Cycle Medical Group on-site at SGMC Health Main Campus. The role focuses on auditing professional coding, educating providers, and improving documentation to support compliant billing.

The ideal candidate will hold a CPC certification, prefer CPMA or CDEO, and have extensive ICD-10, HCPCS, and CPT knowledge, with strong analytical and communication skills for cross-functional collaboration.

Qualifications

• Certified Professional Coder (CPC) is required.

Responsibilities

• Conducts detailed medical coding audits and identifies trends and discrepancies.
• Educates healthcare providers on documentation issues and coding requirements.
• Develops training materials and leads improvement projects.
• Prepares comprehensive audit reports and collaborates with revenue cycle teams.

Skills

Certified Professional Coder (CPC)

Certified Professional Medical Auditor

Multispecialty/Complex coding

Excellent written and verbal comms

Abstracting E/M and CPT codes

Anatomy & physiology knowledge

Education

High School graduate or equivalent

Tools

Microsoft Office (Excel, Teams)

Job description

WHAT IT'S LIKE AT SGMC HEALTH

Description

WHAT IT'S LIKE AT SGMC HEALTH

Purpose

No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence

We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit.

We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance.

We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

WHY YOU WILL LOVE SGMC HEALTH

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

JOB LOCATION :

SGMC Patient Financial Services

DEPARTMENT:

REVENUE CYCLE MEDICAL GROUP

SCHEDULE:

Full Time, 8 HR Day Shift, 8-5 on site

Position Summary

• This position requires on-site presence at SGMC Health Main Campus. Remote work is not available for this role.

The ideal candidate for the Professional Coding Auditor/Education Specialist role will be a Certified Professional Coder (CPC), with preference given to those holding a Certified Professional Medical Auditor (CPMA) or Certified Documentation Expert Outpatient (CDEO) certifications, although relevant experience may substitute for these credentials. The candidate must have a strong foundation in medical coding, including extensive knowledge of ICD-10, HCPCS, and CPT, along with expertise in multispecialty and complex coding, and experience in abstracting E/M and CPT codes. Proficiency in anatomy and physiology, medical terminology, and regulatory compliance related to medical coding and billing is essential. The individual should possess excellent analytical skills for conducting detailed audits, identifying trends and discrepancies, and preparing comprehensive reports. In addition to technical knowledge, the candidate must have exceptional written and verbal communication skills to educate healthcare providers, clarify documentation issues, and work collaboratively with revenue cycle teams. Experience in developing training materials, leading improvement projects, and utilizing Microsoft Office tools—especially Excel and Teams—is required. Strong time management, organizational abilities, and a commitment to continuous improvement through ongoing education are critical for success in this role. Previous experience in a medical office setting is preferred.

Knowledge, Skills & Abilities

• Certified Professional Coder (CPC) Required.
• Certified Professional Medical Auditor preferred, experience may substitute certification.
• Experience in professional coding education, compliance documentation, and/or auditing preferred.
• High School graduate or equivalent.
• Knowledge of anatomy and physiology, medical terminology, ICD-10, HCPCS, and CPT required.
• Experience in abstracting E/M and CPT codes. Must have Multispecialty/Complex coding experience.
• Good communication skills essential.
• Medical Office setting experience preferred.
• Time management skills.
• Demonstrates initiative to provide quality of services and improve efficiencies.
• Proficient in Microsoft Office, especially Excel and Teams.

WORKING CONDITIONS - ADA INFORMATION

Substantial sitting and walking. Moderate standing. Moderate lifting (20+ pounds). Applicant may spend long hours working at computer terminal. Must be able to see and read names, numbers, and colors. The Coder is subject to high stress levels, managing competing priorities, and peaks and valleys in workload. Requires considerable mental effort and logical thought processing.

See What All Of The Hype Is About

https://www.youtube.com/watch?v=_DeqKw8xk54