Coding Educator

Position Overview

Orchard Medical Management (OMM) is seeking a high-impact Coding Educator to drive provider documentation quality, coding accuracy, and revenue performance across our network of medical practices.

This role partners directly with physicians, advanced practice providers, and revenue cycle leadership to ensure clinical documentation fully supports accurate coding, compliant billing, and optimal reimbursement. The Coding Educator will leverage audits, data analysis, and provider engagement to identify gaps, deliver targeted education, and implement sustainable improvements in coding and documentation practices.

This position sits within the Revenue Cycle Management (RCM) team and plays a critical role in connecting clinical workflows, coding performance, and financial outcomes.

Essential Functions

Professional Documentation & Coding Assessment

• Assess provider documentation and coding education needs by:
• Collaborating with Professional Coding leadership, practice leadership, and providers to review existing performance data and workflows
• Conducting ICD-10, CPT, and HCPCS coding audits to evaluate documentation specificity and coding accuracy
• Analyze findings to identify trends in under-coding, missed charges, modifier usage, and documentation gaps
• Summarize audit results and develop clear, actionable improvement plans
• Present findings and recommendations to leadership and key stakeholders

Provider Education & Training

• Deliver targeted coding and documentation education through multiple channels, including:
• One-on-one provider coaching
• Group training sessions
• New provider onboarding education
• Virtual and in-person training platforms
• Translate coding guidelines into practical, specialty-specific workflows providers can apply in real time
• Provide ongoing education on coding updates, payer changes, and documentation best practices
• Reinforce consistent adoption of accurate and compliant coding behaviors

Documentation Improvement & Revenue Optimization

• Partner with providers to improve documentation quality and ensure accurate capture of services rendered
• Identify and address opportunities to improve charge capture, reduce denials, and prevent revenue leakage
• Support development and implementation of documentation standards, policies, and procedures
• Serve as a key contributor in improving overall coding performance and financial outcomes
• Drive exploration, testing and adoption of autonomous coding solutions
• Use workflow analysis to identify areas where technology can be used to reduce workloads and improve accuracy

Cross-Functional Collaboration

• Collaborate with coding, billing, denial management, and physician billing teams to align workflows and resolve documentation-related issues
• Partner with IT and systems teams to provide input on EMR workflows, tools, and system enhancements based on audit findings
• Support evaluation and implementation of new processes, technologies, and training initiatives

Subject Matter Expertise & Support

• Serve as a resource to providers, coders, billing teams, and administrative staff on coding and documentation-related questions
• Maintain advanced knowledge of:
• CPT, HCPCS, ICD-10 coding
• E/M guidelines and modifier usage
• Payer policies and regulatory requirements
• Stay current with industry changes and proactively educate stakeholders on impact

Continuous Improvement

• Participate in ongoing education and professional development to maintain coding expertise and certifications
• Contribute to a culture of continuous improvement, accountability, and performance within the RCM team

Qualifications

• 5–7+ years of professional coding experience, preferably in a multi-specialty or provider-based environment
• Strong background in coding audits, documentation review, and provider education
• Demonstrated ability to work directly with physicians and influence documentation and coding behaviors
• Experience with EMR systems and data-driven performance analysis
• Strong understanding of CPT, ICD-10, HCPCS, E/M guidelines, and payer requirements
• CPC, CCS-P, RHIA, RHIT, CPMA, or similar certification strongly preferred

What Success Looks Like

• Improved provider documentation specificity and coding accuracy
• Reduction in coding-related denials and rework
• Increased capture of billable services and appropriate reimbursement
• Strong provider engagement and participation in education initiatives
• Clear visibility into coding trends and performance improvement