Physician Audit and Education Manager

Job Description

Job Description

About Us

MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work.

Position Location : 100% Remote

Position Classification :   Full-time, 40 hour work week 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, expect to audit cases up to 20 hours weekly, have been client-facing, have experience presenting or educating in-person (or virtually), and ideally have expert-level Epic proficiency

Responsibilities :

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

Education / Experience Requirements :

About MedKoder, LLC :

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