[Hiring] Compliance Educator @Sound Physicians

Role Description

The Coding Compliance Educator provides coding, documentation, and compliance education to providers and clinical leadership across assigned service lines. The role translates audit findings, regulatory guidance, and coding trends into clear, practical education and responds to provider questions using authoritative guidance. This position partners closely with Compliance Audit and clinical leadership to support consistent, accurate, and defensible coding and documentation practices.

Essential Duties and Responsibilities

• Develop and deliver coding, documentation, and compliance education to providers and clinical leadership across assigned service lines.
• Translate audit findings, coding trends, regulatory changes, and identified risk areas into clear, practical education and guidance.
• Respond to provider and clinical leadership questions regarding coding, documentation, billing, and compliance requirements in a timely, professional, and non-punitive manner.
• Research, interpret, and apply authoritative coding and regulatory guidance, including CPT, ICD-10-CM, HCPCS, modifiers, CMS requirements, and other applicable federal and state regulations.
• Create and maintain educational materials, presentations, job aids, tip sheets, and other resources to support accurate and compliant coding and documentation practices.
• Prepare for and facilitate provider, site, and clinical leadership education sessions, including presentations related to audit findings, coding updates, documentation requirements, and best practices.
• Partner with Compliance Audit to review audit findings, identify recurring trends, and determine appropriate education priorities.
• Analyze audit and monitoring results to identify patterns, variations, emerging risks, and opportunities for targeted education.
• Support development and maintenance of standardized education content to promote consistent messaging across providers, sites, and service lines.
• Collaborate with Compliance Audit, clinical leadership, Revenue Cycle, and other stakeholders to address coding and documentation concerns and support corrective actions when appropriate.
• Maintain current knowledge of healthcare coding, documentation, billing, regulatory requirements, and industry guidance through continuing education and professional development.
• Exercise independent judgment and discretion when addressing complex or sensitive coding and compliance matters.
• Maintain strict confidentiality of patient, provider, proprietary, and other sensitive information.
• Participate in department projects, process improvement initiatives, and other compliance activities as assigned.
• Perform other duties as assigned.

Values

• Trustworthy: Demonstrates a high degree of integrity; keeps confidences; does what they say they will do.
• Intellectually Curious: Demonstrates a genuine interest in learning new things and wants to know the reason “why” behind the way things are done.
• Collaborative: Demonstrates the ability to work well with others to accomplish a goal; considers others’ perspectives and includes others appropriately in the decision-making process.
• Open-minded: Willing to listen to and consider different opinions and approaches; willing to change an initial judgment when new information supports it.
• Resourceful: Proactively utilizes available information and tools to figure things out.

Knowledge, Skills and Abilities

• Advanced knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and professional-fee coding.
• Proficiency with Microsoft 365 applications.
• Working knowledge of CMS documentation and billing requirements.
• Ability to research, interpret, and clearly communicate authoritative regulatory and coding guidance.
• Strong presentation and facilitation skills.
• Ability to analyze audit data and identify recurring trends and education opportunities.
• Ability to exercise independent judgment when addressing complex or sensitive provider questions.
• Ability to manage competing priorities and independently manage assigned provider/site education.
• Strong written communication and educational-content development skills.

Education and Experience

• Active coding credential such as CPC, CCS, CCS-P, COC, RHIT, RHIA, or comparable credential required.
• Minimum of 3 years of progressive professional coding compliance auditing or provider education experience required.
• Direct experience educating physicians, advanced practice providers, or clinical leadership strongly preferred.
• Experience researching and applying CMS and other authoritative coding and documentation guidance required.
• Experience developing and presenting coding or compliance education preferred.
• Bachelor’s degree in healthcare, business, education, or related field preferred; equivalent relevant experience may be considered.

Salary Range

$70,000 - $85,000 annually. Exact pay will be determined based on candidate experience and geographical location.

Equal Employment Opportunity

Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.

This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.