Physician Audit and Education Manager

ZipRecruiter; Mandeville (LA); Remote; USD 80,000 - 120,000; Full time

Job summary

A leading company in healthcare seeks an Audit and Education Manager for a fully remote position. The role involves managing a team, ensuring quality in client engagements, and providing education on coding practices. Ideal candidates will have extensive coding experience, proven leadership in healthcare settings, and excellent communication skills.

Benefits

Generous paid time off

Employer-paid Medical, Dental, and Vision benefits

401K and Profit Sharing plans

Paid AAPC and AHIMA memberships

30 hours of CEU pay for ongoing education

Qualifications

• 8+ years of recent physician coding experience.
• 5+ years of recent physician auditing experience.
• 3+ years of management or supervisory experience.

Responsibilities

• Manage a team of auditors/educators ensuring adequate staffing levels.
• Develop and maintain audit and education schedules.
• Conduct audits across multiple specialties and settings.

Skills

Leadership

Analysis

Communication

Client Relationship Management

Education

High School diploma

Associate or BS degree in healthcare

AHIMA or AAPC certification

Tools

Microsoft Word

Excel

PowerPoint

Healthcare billing systems

Job description

Job Description

Position Location: 100% Remote

This is a full-time, remote position that offers a flexible schedule.

Description:

Under the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This role involves overseeing the daily operations of assigned clients, managing staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering growth, compliance, and quality in client engagements. This position also serves as a client advocate, ensuring services are delivered in alignment with contract terms and evolving client needs.

Candidates should have recent auditing and education experience, have been client-facing, have experience presenting or educating in-person (or virtually), and ideally have expert-level Epic proficiency.

Responsibilities:

1. Manage a team of auditors/educators ensuring adequate staffing levels, quality and productivity reviews, and conducting performance evaluations.
2. Develop and maintain audit and education schedules, workflows, and trackers.
3. Meet with clients to plan audits and provide education on audit results regarding accurate coding and best practices.
4. Attend meetings and deliver presentations to providers, clients, and company executives.
5. Communicate client goals and requirements to the team to ensure proper execution.
6. Regularly review client project goal templates and address concerns with proactive communication.
7. Ensure project deliverables adhere to internal quality standards.
8. Develop and deliver coding training programs for staff and clients.
9. Provide ongoing education to team and clients on coding updates, compliance issues, and best practices.
10. Address individual errors through targeted coaching.
11. Conduct professional audits across multiple specialties and settings, including E&M and surgical cases.
12. Conduct regular meetings with the Coding Director and Team Leads.
13. Collaborate with the Coding Director to identify opportunities for efficiencies.
14. Support client growth and retention by collaborating with the Business Development team, including onboarding new clients and strategic planning aligned with client missions and revenue improvement strategies.
15. Stay updated on coding guidelines and changes (ICD-10-CM, CPT, HCPCS, AMA, CMS, AHA Coding Clinics, HHS/OIG).
16. Ensure coding compliance with industry standards and payer requirements.
17. Address discrepancies and adherence to Local Coverage Determination (LCDs) and Coverage Determination (NCDs).
18. Generate reports on compliance metrics and audit findings.
19. Analyze data trends and implement corrective actions.
20. Provide customized reports and summaries to leadership as needed.
21. Collaborate with Coding Managers and support clients with coding needs as required.
22. Complete other duties assigned by leadership.

Education/Experience Requirements:

1. High School diploma required; Associate or BS degree in healthcare preferred.
2. Successful completion of at least one AHIMA or AAPC certified program with active credentials (CCS, CPC, etc.); CPMA credential required; ideally multiple credentials.
3. Minimum 8 years of recent physician coding experience and 5 years of recent physician auditing experience.
4. Minimum 3 years of management or supervisory experience in this field.
5. Experience educating providers in group or one-on-one settings.
6. Experience creating and implementing audit plans.
7. Ability to lead client engagements and develop business.
8. Excellent communication skills (verbal and written), professional demeanor, confident in large group presentations.
9. Subject matter expert in E&M and Surgical coding, with expert knowledge of medical terminology, anatomy, physiology, disease processes, CPT, ICD-10-CM, and Medicare/Medicaid billing policies.
10. Independent work skills, time management, research, organizational skills, and meeting deadlines are essential.
11. Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and healthcare billing systems; experience with Google Workspace and remote work is a plus.
12. Experience with auditing specialties such as Ophthalmology, Behavioral Health, Cardiology, ENT, Dental, Plastic Surgery, Orthopedics, NICU/PICU, and FQHCs/RHCs is a plus.

About MedKoder, LLC:

• Privately held, growing company with strong values and ethics.
• Focus on professional development and education.
• All positions are permanent – no contracts or sitting on a “coding bench”.
• Generous paid time off, holiday pay, and flexible scheduling.
• Internal network of industry leaders, including a CEO with 20+ years of coding experience.
• Up to 100% employer-paid Medical, Dental, and Vision benefits.
• 401K and Profit Sharing plans.
• STD, LTD, Life Insurance, FSA Program.
• Paid AAPC and AHIMA memberships.
• 30 hours of CEU pay for ongoing education.
• Recognized nationally as a Best Place to Work by Modern Healthcare.

Powered by JazzHR

YLBkKELqQi