Certified Medical Coder & Provider Documentation Trainer Job at Lifeline Medical Center in Pennsylvania

About Us: Lifeline Medical is a mission-driven medical and behavioral health organization dedicated to improving access to high-quality, compassionate health care. We provide evidence-based clinical services designed to support individuals across the full continuum of physical, emotional, psychological, and behavioral needs. Our team of licensed providers delivers care that is patient-centered, outcomes-focused, and grounded in clinical integrity. By combining modern care delivery models with a human-first approach, we create an environment where patients feel safe, supported, and empowered to achieve lasting stability and improved quality of life. At Lifeline Medical, we are committed to removing barriers to care, strengthening communities, and setting a higher standard for accessible and ethical mental healthcare. We are seeking a highly experienced, confident, and detail-oriented Certified Medical Coder & Provider Documentation Trainer to join our growing healthcare organization. This is not an entry-level coding position. We are looking for someone who can independently evaluate clinical documentation and coding practices, identify problems before they become compliance or reimbursement issues, train providers effectively, and confidently recommend appropriate coding and documentation improvements. The right candidate will be exceptionally attentive to detail, dependable, responsive, and comfortable working independently in a remote environment.

Job Duties: Review clinical documentation for coding accuracy, completeness, medical necessity, and appropriate code selection. Conduct ongoing internal coding and documentation audits. Identify documentation deficiencies, coding errors, missed coding opportunities, and areas requiring provider education. Provide direct education and training to physicians, nurse practitioners, therapists, counselors, and other clinical staff regarding proper documentation and coding. Explain why documentation does or does not support a particular CPT, HCPCS, ICD-10-CM, modifier, or service. Develop practical documentation guidance, training materials, coding resources, and corrective education for providers. Monitor coding and documentation patterns and proactively identify areas of concern. Remain current on coding guidelines, payer requirements, Medicare/Medicaid requirements, and relevant regulatory changes. Evaluate existing and potential services to identify compliant opportunities to appropriately capture services being provided and expand organizational service offerings. Research coding requirements for new programs and services before implementation. Work with leadership and clinical teams to establish compliant documentation and coding workflows. Review payer policies, medical policies, billing requirements, and reimbursement guidelines. Assist with corrective action plans when documentation or coding concerns are identified. Receive and coordinate payer audit requests. Review requested medical records before submission. Evaluate documentation and coding associated with audited claims. Identify potential concerns and communicate them promptly to leadership. Prepare organized and timely audit responses. Work with providers to obtain necessary documentation or clarification when appropriate. Track audit deadlines and ensure responses are completed on time. Review payer findings and determine whether findings are supported by the documentation and applicable coding or payer guidelines. Assist with reconsiderations or appeals when appropriate. Develop corrective education based on audit findings. Help the organization identify patterns that could create future audit or recoupment risk. Education Current recognized professional coding certification, such as CPC, CCS, CCS-P, COC, or equivalent. Qualification Current recognized professional coding certification, such as CPC, CCS, CCS-P, COC, or equivalent. Demonstrated professional medical coding experience. Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, documentation requirements, and medical necessity. Experience reviewing clinical documentation and conducting coding/documentation audits. Experience educating or training healthcare providers regarding documentation and coding. Understanding of commercial insurance, Medicare, Medicaid, and payer-specific requirements. Knowledge of payer audits, medical record requests, recoupments, and audit responses. Skill Knowledge of payer audits, medical record requests, recoupments, and audit responses. Understanding of commercial insurance, Medicare, Medicaid, and payer-specific requirements. Exceptional attention to detail. Excellent written and verbal communication skills. Strong organizational and time-management skills. Ability to work independently without continuous supervision. Highly dependable and responsive during scheduled working hours. We need someone who is confident in their expertise. You cannot be afraid to question a code selection, point out inadequate documentation, educate a provider, or tell leadership when a process needs to change. At the same time, this position requires someone who understands that coding decisions must be based on the documentation, applicable coding guidelines, medical necessity, payer requirements, and the actual services performed. We also want someone who thinks beyond simply processing codes. The successful candidate should be able to recognize legitimate opportunities for the organization to expand services, improve documentation, appropriately capture work already being performed, and develop new compliant service lines. We value individuals who bring solutions—not simply identify problems. Proof Of Experience Required Verification of current coding certification. Professional references. Examples or descriptions of previous coding/documentation improvement initiatives. Demonstrated experience training providers. Demonstrated experience conducting audits or responding to payer audits. Examples of measurable improvements they have helped achieve, when available. Candidates may be asked to complete a coding and documentation assessment as part of the interview process. Our ideal candidate is a seasoned certified coder who can look at a medical record and quickly determine: Is the documentation complete? Is the code supported? Is something being missed? Is there a compliance concern? What should the provider do differently? How do we prevent this problem from happening again? If you are an experienced certified coder who enjoys auditing, educating providers, solving documentation problems, handling payer audits, and helping healthcare organizations develop compliant services, we encourage you to apply.