Healthcare Coding & Compliance Education Lead

Our Billing Co; Buffalo (NY); On-site; USD 71,000 - 82,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Our Billing Co. is seeking a full-time Quality Educator to develop and deliver comprehensive education programs improving coding accuracy, documentation quality, and compliance across Kaleida Health Enterprise.

The role leads onboarding for new physicians, trains staff after audits, and reinforces corrective actions to reduce denials and ensure payer adherence. The position involves cross-department collaboration, creating materials, and tracking training effectiveness.

Qualifications

• Degree in Healthcare Administration, Health Information Management, Nursing, Education, or a related field required.
• Five to seven years in medical coding, provider education, CDI, or healthcare compliance.
• Experience conducting training for physicians or coding staff is highly preferred.
• Certifications must be maintained in good standing (CPC, CCS, CPMA, CHC, or AHIMA RHIT/RHIA).

Responsibilities

• Communicates audit findings clearly and professionally to departments, coders, providers, and workforce members to ensure full understanding of identified issues.
• Conducts training sessions following audits to support operational improvement and correct deficiencies.
• Assists in developing corrective action plans (CAPs) and performs follow-up assessments to verify successful implementation.
• Collaborates with Quality leadership to align educational strategies with audit outcomes and compliance needs.
• Leads onboarding education for new physicians, including documentation standards, coding expectations, regulatory requirements, and organizational workflows.
• Provides ongoing training to coders and providers in areas including coding accuracy, documentation improvement, billing compliance, and payer rule interpretation.
• Develops and delivers general and specialized training sessions to address identified problem areas, trends, and compliance risks.
• Serves as a subject matter expert and resource for coding, documentation, billing, and reimbursement questions.
• Assists with creating, updating, and disseminating educational materials, policies, workflows, and job aids.
• Tracks, monitors, and evaluates the effectiveness of training programs through feedback, audit trends, and performance metrics.
• Engages Clinical Documentation Improvement (CDI), Coding, Compliance, Revenue Cycle, and physician leadership to align education with organizational needs.
• Supports interdisciplinary initiatives aimed at reducing denials, improving documentation quality, and enhancing coding accuracy.
• Ensures consistent educational messaging and standards across all affiliated entities (Kaleida Health, UAHS, GPPC).

Skills

ICD-10 guidelines

CPT/HCPCS knowledge

Communication skills

Public speaking

Education

Healthcare-related degree

CPC/CCS/CPMA/CHC/AHIMA RHIT/RHIA certifications

Tools

PowerPoint

Excel

Teams

Job description

Our Billing Co. is seeking a full-time Quality Educator to develop and deliver comprehensive education programs improving coding accuracy, documentation quality, and compliance across Kaleida Health Enterprise.

The role leads onboarding for new physicians, trains staff after audits, and reinforces corrective actions to reduce denials and ensure payer adherence. The position involves cross-department collaboration, creating materials, and tracking training effectiveness.