Coding Compliance Educator

Sound Physicians; United States; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

401(k) with company match

Paid time off (PTO)

Job summary

Sound Physicians seeks a Coding Compliance Educator to deliver coding, documentation, and compliance education across assigned service lines. You will translate audit findings and regulatory guidance into practical education for providers and clinical leadership, supporting accurate and defensible coding practices.

You will partner with Compliance Audit and clinical leadership to ensure consistent messaging, develop educational materials, and respond to questions about coding, documentation, and

Qualifications

• Active coding credential required (CPC/CCS/CCS-P/COC/RHIT/RHIA).
• Bachelor’s degree in healthcare, business, education, or related field preferred; equivalent experience.

Responsibilities

• Develop and deliver coding, documentation, and compliance education to providers and clinical leadership across service lines.
• Translate audit findings, coding trends, regulatory changes, and risk areas into practical education and guidance.
• Respond to provider questions on coding, documentation, billing, and compliance in a timely, professional manner.
• Research and apply CPT, ICD-10-CM, HCPCS, modifiers, CMS requirements, and state/federal regulations.

Skills

CPT/ICD-10-CM/HCPCS

Microsoft 365

CMS rules

Presentation skills

Educational content

Audit data analysis

Written communication

Education

Coding credential (CPC/CCS/CCS-P/COC/RHIT/RHIA)

Bachelor’s degree preferred

Tools

CMS systems

Job description

Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone - no matter who they are or where they live. With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine.

Whether working virtually or onsite at one of our practices, you’ll be part of a purpose-driven organization shaping the future of healthcare.

• A remote-first culture that values flexibility and collaboration
• Opportunities to grow your career while making a real impact
• A team that champions inclusivity, innovation, and excellence

Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

• Medical insurance, Dental insurance, and 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, in accordance with Sound's PTO policy
• Ten company-paid holidays per year

About the Role

The Coding Compliance Educator provides coding, documentation, and compliance education to providers and clinical leadership across assigned service lines. The role translates audit findings, regulatory guidance, and coding trends into clear, practical education and responds to provider questions using authoritative guidance. This position partners closely with Compliance Audit and clinical leadership to support consistent, accurate, and defensible coding and documentation practices.

Essential Duties and Responsibilities

• 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 in a timely, professional, and non-punitive manner.
• Research, interpret, and apply authoritative coding and regulatory guidance, including CPT, ICD-10-CM, HCPCS, modifiers, CMS requirements, and other applicable federal and state regulations.
• Create and maintain educational materials, presentations, job aids, tip sheets, and other resources to support accurate and compliant coding and documentation practices.
• Prepare for and facilitate provider, site, and clinical leadership education sessions, including presentations related to audit findings, coding updates, documentation requirements, and best practices.
• Partner with Compliance Audit to review audit findings, identify recurring trends, and determine appropriate education priorities.
• Analyze audit and monitoring results to identify patterns, variations, emerging risks, and opportunities for targeted education.
• Support development and maintenance of standardized education content to promote consistent messaging across providers, sites, and service lines.
• Collaborate with Compliance Audit, clinical leadership, Revenue Cycle, and other stakeholders to address coding and documentation concerns and support corrective actions when appropriate.
• Maintain current knowledge of healthcare coding, documentation, billing, regulatory requirements, and industry guidance through continuing education and professional development.
• Exercise independent judgment and discretion when addressing complex or sensitive coding and compliance matters.
• Maintain strict confidentiality of patient, provider, proprietary, and other sensitive information.
• Participate in department projects, process improvement initiatives, and other compliance activities as assigned.
• Perform other duties as assigned.

The Details:

A successful candidate will have a demonstrated track record of a combination of these values, knowledge, experience and competencies:

Values

• Trustworthiness: Demonstrates a high degree of integrity; keeps confidences; does what they say they will do.
• Intellectual Curiosity: Demonstrates a genuine interest in learning new things and wants to know the reason “why” behind the way things are done.
• Collaboration: Demonstrates the ability to work well with others to accomplish a goal; considers others’ perspectives and includes others appropriately in the decision-making process.
• Open-mindedness: Willing to listen to and consider different opinions and approaches; willing to change an initial judgment when new information supports it.
• Resourcefulness: Proactively utilizes available information and tools to figure things out.

Knowledge, Skills, and Abilities

• 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.

Education and Experience

• 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.
• Direct experience educating physicians, advanced practice providers, or clinical leadership strongly preferred.
• Experience researching and applying CMS and other authoritative coding and documentation guidance required.
• Experience developing and presenting coding or compliance education preferred.
• Bachelor’s degree in healthcare, business, education, or related field preferred; equivalent relevant experience
  Equal Opportunity Employer
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