Provider Coding Auditor & Educator

About the Position

Provider Coding Auditor & Educator

Join Munson Healthcare as a Provider Coding Auditor & Educator in Traverse City, Michigan. Audit clinician coding, deliver education, and support CDI initiatives.

Responsibilities

• Perform independent professional fee coding and documentation audits for physicians and advanced practice providers (APPs), including Evaluation and Management (E/M), procedural, and diagnosis coding.
• Evaluate clinician documentation to ensure accurate CPT, HCPCS, and ICD-10-CM code assignment, including E/M level selection and supporting medical decision-making documentation.
• Prepare clear, defensible written audit findings and recommendations identifying errors, trends, risks, and documentation improvement opportunities.
• Deliver one-on-one provider education following audits to reinforce compliant coding and documentation practices.
• Develop and present targeted education for clinicians and coding staff related to coding guidelines, documentation requirements, CDI principles, and identified risk areas.
• Identify Clinical Documentation Integrity (CDI) gaps impacting accuracy, medical necessity, and defensibility, and support improvement efforts.
• Support the development and maintenance of clinician documentation guidelines, best practices, and reference materials.
• Monitor coding and documentation trends, including audit outcomes and denial drivers, and report findings to leadership and key stakeholders.
• Collaborate with coding, CDI, compliance, revenue integrity, and clinical leadership to support documentation quality, audit readiness, denial prevention, and organizational initiatives.
• Assist with documentation and coding education for new clinicians and support ongoing organizational coding and documentation improvement efforts.
• Participate in compliance and revenue integrity activities, including internal reviews, payer inquiries, and audit-related initiatives.
• Maintain audit tracking tools and quality metrics to support reporting, trending, and continuous improvement.
• Provide broad refresher education related to annual, quarterly, or interim coding and documentation changes and regulatory updates.
• Travel to physician offices and clinical sites as needed to conduct on-site audits and deliver in-person education.

Requirements

• Education:
  • High School Diploma/GED and 7 years total experience in professional coding experience including E/M and procedural coding across multiple specialties with at least 2 years of experience in professional coding audits, provider education, compliance reviews, and/or CDI.
  • Associates Degree in Health Information Management or a related healthcare field and 5 years total experience in professional coding experience including E/M and procedural coding across multiple specialties with at least 2 years of experience in professional coding audits, provider education, compliance reviews, and/or CDI.
• Certifications:
  • CPC or CCS-P
  • Required to obtain within 18 months of hire - CDEO

Skills

• Core Skills:

  • CPT
  • ICD-10-CM
  • HCPCS
  • E/M coding
  • Auditing
  • Documentation
  • Coding accuracy
  • Clinical documentation integrity
  • Provider education
  • Communication

• Secondary Skills:

  • Regulatory standards
  • Payer-specific requirements
  • Compliance
  • Risk areas
  • Medical necessity
  • Clinical decision-making
  • Documentation specificity
  • Defensible documentation
  • Attention to detail
  • Adaptability
  • Independent work style

We Offer

• Competitive salary
• Full benefits
• Paid holidays
• Generous PTO
• Employee discounts
• Free individual retirement counseling
• Free wellness platform for you and your family
• Personalized support for personal or family challenges
• Opportunities for growth through tuition reimbursement, in-person and online development, and access to our career hub

About the Company

More Than Just Care, It’s Community

Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.

If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country.

Apply

Are you Munson Material? Apply today!

Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.