Professional Billing Coding & Documentation Educator - Direct Hire - Remote

Professional Billing Coding and Documentation EducatorWe are seeking an experienced Professional Billing Coding and Documentation Educator to play a critical role in physician education, professional billing accuracy, coding compliance, and clinical documentation improvement. This is an opportunity for a knowledgeable coding professional who enjoys going beyond traditional coding responsibilities to educate providers, improve documentation practices, and make a meaningful impact across a healthcare organization.Job Title: Professional Billing Coding and Documentation EducatorLocation: Newark, CA (Remote - Candidates must reside within 50 miles of the Newark area due to travel and operational requirements.)Employment Type: Full-Time (Direct Hire)Pay Range: $44.57-$57.94 per hour, based on experience, qualifications, and internal equity.About the RoleWe are seeking an experienced medical coding and documentation professional to support a leading Bay Area healthcare organization focused on physician education, professional billing accuracy, regulatory compliance, and documentation excellence. This role is highly collaborative and education-focused.

It is not a traditional production-only coding position. The ideal candidate will bring strong knowledge of professional-fee coding, coding audits, HCC risk adjustment, and documentation requirements, along with the ability to communicate complex coding concepts clearly to physicians and clinical teams. Key areas of focus include:Professional-fee coding and documentation auditsPhysician and clinical staff educationICD-10, CPT, and HCPCS coding accuracyHCC risk adjustment and documentation improvementCoding compliance and regulatory guidelinesProvider onboarding and specialty-specific educationDevelopment of educational resources and coding guidanceThis position works closely with physicians, coding professionals, compliance teams, and operational stakeholders to improve documentation quality, strengthen coding practices, and support appropriate reimbursement.Key ResponsibilitiesConduct professional billing coding and documentation reviews to evaluate accuracy, completeness, and compliance with applicable guidelines.Identify coding discrepancies, documentation deficiencies, and opportunities for improvement.Provide education and guidance to physicians and clinical teams on ICD-10, CPT, HCPCS, and professional billing requirements.Deliver individualized provider education, coding presentations, and specialty-specific training sessions.Support provider onboarding through coding and documentation education.Educate providers on HCC risk adjustment principles, diagnosis capture and recapture, suspect conditions, and M.E.A.T.

documentation criteria.Review documentation practices to help ensure coding is supported by appropriate clinical information and medical necessity.Communicate audit findings and coding recommendations clearly and constructively to physicians and other stakeholders.Develop educational materials, presentations, and written coding guidance, including contributions to the monthly Coding Corner newsletter.Provide coding and documentation education support within the Epic electronic medical record environment.Collaborate with coding, reimbursement, operational, and compliance teams to address documentation concerns and promote consistent coding practices.Support ongoing quality improvement initiatives related to physician documentation, coding accuracy, and regulatory compliance.Stay current with coding guidelines, payer requirements, regulatory updates, and risk adjustment best practices.Required QualificationsHigh school diploma or GED.Minimum four years of work experience in a healthcare setting with knowledge of regulatory billing/coding guidelines and risk adjustment regulatory guidelines.Certified Professional Medical Auditor (CPMA) - Required.Certified Risk Adjustment Coder (CRC) - Required.Certified Professional Coder (CPC) OR Certified Coding Specialist (CCS) - Required.Strong understanding of medical coding principles, documentation requirements, and regulatory compliance.Ability to communicate technical coding information effectively to physicians and clinical teams.Strong analytical, organizational, written communication, and interpersonal skills.Ability to work collaboratively with clinical and operational stakeholders.Must reside within 50 miles of Newark, CA.Ability to meet the position's approximately 10% travel requirement.Certification Requirement: Candidates must hold CPMA + CRC + either CPC or CCS. All three credentials in this combination are mandatory.Preferred QualificationsBachelor's degree.Five years of multi-specialty physician coding experience within an electronic medical record (EMR) environment.What We're Looking ForWe're looking for a knowledgeable, detail-oriented coding professional who combines technical expertise with a genuine ability to educate and collaborate with healthcare providers. Ideal candidates will demonstrate:Confidence explaining coding and documentation requirements to physicians and clinical teams.Strong understanding of professional billing, coding audits, and documentation accuracy.Ability to identify coding concerns and communicate practical recommendations.Knowledge of HCC risk adjustment, documentation standards, and coding compliance.Comfort delivering presentations, training sessions, and individualized provider education.Sound judgment when balancing coding accuracy, regulatory compliance, and appropriate reimbursement.Strong collaboration and problem-solving skills.A commitment to continuous improvement and helping providers strengthen documentation practices.Work Model & ScheduleRemote position for candidates residing within 50 miles of Newark, CA.Approximately 10% travel required for position-related activities, including provider and clinical support as needed.Monday-Friday schedule.Specific working hours and onsite expectations will be confirmed during the hiring process.