Compliance Educator

10 Nationwide Children's Hospital; United States; Hybrid; USD 70,000 - 90,000; Full time

Job summary

10 Nationwide Children's Hospital is looking for an individual to design and deliver effective education programs related to compliant documentation, coding, and billing practices. The position supports physicians and clinical staff, ensuring adherence to standards through various learning experiences.

This hybrid role involves both in-office and remote work, with responsibilities including developing educational content, conducting compliance education, and overseeing the onboarding of new providers. A Bachelor’s Degree in a related field and specific coding certifications are required.

Qualifications

• 4 years of experience in professional and facility coding/auditing or clinical documentation required.
• 2 years of compliance experience in a healthcare setting required.
• Teaching or public speaking experience required.

Responsibilities

• Develops and delivers targeted education based on service or program changes.
• Designs and maintains educational content to support coding accuracy.
• Provides training to physicians and clinical staff both virtually and onsite.

Skills

LMS platforms proficiency

EPIC and MDaudit proficiency

Data visualization tools (Qlik)

Visual and graphic design skills

Independent work with collaboration

Education

Bachelor’s Degree in Health Information Management, Nursing, Healthcare Administration, or related field

Job description

Overview

HYBRID Role (primarily 2 days in office/3 days WFH but may vary based on educational needs/initiatives). Working hours between 7am-6pm Mon-Fri. In office for introductory/training/Onboarding period.

Job Description Summary

Designs and delivers education programs on compliant documentation, coding and billing practices, regulatory requirements, and internal policies through learning experiences such as instructor-led sessions, webinars, and e-learning modules. Serves as a key resource for physicians, clinical staff, auditors, coders, and other stakeholders, ensuring understanding and adherence to applicable standards. Analyzes data and reports to identify educational needs and may conduct limited audits to support targeted training efforts.

Essential Functions

• Develops and delivers targeted education based on new service or program implementation, CPT/ICD-10 changes, and regulatory changes.
• Reviews audit data and compliance trends to identify educational gaps and address areas of risk.
• Designs and maintains educational content and resources, supporting accurate CPT and diagnosis coding for professional services, and ensuring alignment with ICD-10-CM and clinical documentation standards.
• Leads the new provider onboarding process, including initiating education, assigning modules, tracking completion, and expanding educational content tailored to NCH specialties and service lines.
• Collaborates with HIM, CDI, Coding, and Compliance teams to align educational strategies with internal policies and regulatory requirements.
• Supports communication and clarification of coding compliance-related topics between coding/billing personnel and clinical teams to promote understanding and adherence.
• Provides virtual and onsite training to providers and staff, adapting content to meet the needs of various specialties and service lines.

Education Requirement

Bachelor’s Degree in Health Information Management, Nursing, Healthcare Administration, or a related field, required.

Licensure Requirement

Licensure as a Registered Nurse (RN) or other clinical credential, preferred.

Certifications

• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist – Physician-based (CCS-P)
• Registered Health Information Technician (RHIT)
• or other similar certification, required.
• Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred.

Skills

• Proficiency with LMS platforms and virtual training tools.
• Proficiency with EPIC and MDaudit or similar systems.
• Proficiency with data visualization tools such as Qlik.
• Strong visual and graphic design skills.
• Demonstrated initiative, ownership, and a results-driven approach.
• Ability to work independently while fostering collaboration across multidisciplinary teams.

Experience

• Four years of experience in professional and facility coding/auditing or clinical documentation, required.
• Experience in a pediatric healthcare setting, preferred.
• Two years of compliance experience in a healthcare setting, required.
• Experience developing education content, required.
• Teaching or public speaking experience, required.
• Clinical experience, preferred.

Physical Requirements

OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Standing, Walking

Additional Physical Requirements

FREQUENTLY: (none specified)

CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting

General Statement

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.

Equal Employment Opportunity

EEO M/F/Disability/Vet