Physician Coding Educator

Job Title: Physician Coding Educator

Company Overview:

Pulivarthi Group is a premier global provider of staffing and IT technology solutions, renowned for delivering exceptional services tailored to each client's unique needs. With a steadfast commitment to excellence, we merge expertise with innovation, ensuring cost-effective solutions of the highest quality. Our diverse client base spans healthcare, finance, government, and beyond, reflecting our adaptability and proficiency across industries. Operating in the United States, Canada, and Mexico, we pride ourselves on aligning with clients' cultures, deploying top-tier talent, and utilizing cutting-edge technologies. Pulivarthi Group stands as a beacon of reliability, efficiency, and innovation in the realm of staffing solutions.

Job Overview/Summary:

We are seeking a detail-oriented and experienced Physician Coding Educator to support coding accuracy, compliance, and education initiatives across healthcare provider groups. The ideal candidate will have recent hands-on experience with professional (Profee) evaluation and management (E/M) coding in Family Practice, Internal Medicine, and/or Risk Adjustment environments. This position will ensure coding integrity while educating providers and coders in accordance with current guidelines and standards.

Key Responsibilities:

• Educate providers and coders on proper E/M coding practices based on clinical documentation

• Review coding quality and provide feedback to improve accuracy and compliance

• Support auditing efforts to ensure documentation supports submitted codes

• Serve as a subject matter expert on coding regulations, payer requirements, and Risk Adjustment methodologies

• Stay current on regulatory updates, including CMS and payer coding guideline changes

• Collaborate with cross-functional teams to develop and implement coding training tools and educational resources

• Provide 1:1 or group educational sessions and workshops as needed

Primary Skills:

• Extensive experience in professional fee (Profee) coding for Family Practice, Internal Medicine, and/or Risk Adjustment

• Strong understanding of CPT, ICD-10-CM, and HCC coding

• Knowledge of current CMS and payer-specific coding guidelines

• Ability to interpret and apply clinical documentation to accurate code assignment

• Strong communication and presentation skills for both individual and group education

Secondary Skills (Good to Have):

• Familiarity with EMR/EHR systems and coding platforms

• Knowledge of HEDIS, STAR, and quality reporting programs

• Previous experience in auditing or compliance roles

Qualifications:

• Bachelor’s Degree or equivalent experience

• Minimum of 5 years of recent Profee E/M coding experience in relevant specialties (Family Practice, Internal Medicine, Risk Adjustment)

• Current coding certification through AAPC (e.g., CPC, CRC) or AHIMA (e.g., CCS, RHIA, RHIT) — certification number must be provided

• Strong attention to detail and high level of coding accuracy

• Excellent written and verbal communication skills

Benefits/Perks:

• Competitive compensation

• Flexible remote work (if applicable)

• Continuing education and certification support

• Professional development and advancement opportunities

Equal Opportunity Statement:

Pulivarthi Group is proud to be an equal opportunity employer. We are committed to building a diverse and inclusive culture and celebrate authenticity. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, disability, protected veteran status, or any other legally protected characteristics.