What are the responsibilities and job description for the Medical Coding Educator & Auditor position at Apex Systems?
Job#: 3040491
Job Description:
Medial Coding Educator & Auditor
Location: Remote (must reside in New England)
Travel: 2–3 times per month to UMass sites across MA, CT, RI, and NH
Employment Type: Permanent, Direct Hire
Position Summary
UMass Memorial Health is seeking a Senior Revenue Integrity Specialist to serve as a subject matter expert in Professional Fee (ProFee) Coding, Auditing, and Physician Education. This highly visible role supports more than 400 physicians across multiple specialties and requires a unique blend of advanced coding expertise, audit experience, and the ability to confidently educate and present to both small groups and large physician audiences.
The ideal candidate is a strong coding professional who can audit documentation, identify revenue integrity opportunities, defend coding decisions, and lead physician education initiatives focused on coding accuracy, compliance, and documentation improvement.
Key Responsibilities
The successful candidate is a strong coder–educator hybrid who can confidently engage physicians, present to audiences of all sizes, and drive coding accuracy across a complex health system. They possess a strong personality, can navigate varied physician communication styles, and are comfortable influencing change through education, audits, and data-driven recommendations.
Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.
Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy
Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6 months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.
Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.
UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.
© 2026 Everforth, Inc. All rights reserved.
Everforth Apex Systems is part of the Commercial Segment of Everforth, Inc.
NYSE: EFOR
4400 Cox Road
Suite 200
Glen Allen, Virginia 23060
Everforth Apex is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. (Do not submit resumes or solicit consultants to this email address). UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex.
Job Description:
Medial Coding Educator & Auditor
Location: Remote (must reside in New England)
Travel: 2–3 times per month to UMass sites across MA, CT, RI, and NH
Employment Type: Permanent, Direct Hire
Position Summary
UMass Memorial Health is seeking a Senior Revenue Integrity Specialist to serve as a subject matter expert in Professional Fee (ProFee) Coding, Auditing, and Physician Education. This highly visible role supports more than 400 physicians across multiple specialties and requires a unique blend of advanced coding expertise, audit experience, and the ability to confidently educate and present to both small groups and large physician audiences.
The ideal candidate is a strong coding professional who can audit documentation, identify revenue integrity opportunities, defend coding decisions, and lead physician education initiatives focused on coding accuracy, compliance, and documentation improvement.
Key Responsibilities
- Perform professional fee coding audits and quality reviews across multiple specialties.
- Conduct physician education on coding, documentation, compliance, and billing best practices.
- Deliver presentations and training sessions ranging from one-on-one coaching to large physician groups.
- Review and analyze coding trends, identify revenue opportunities, and recommend process improvements.
- Support annual coding updates, regulatory changes, and major audit initiatives.
- Research and interpret CPT, HCPCS, CMS, payer, and reimbursement guidelines.
- Partner with providers, revenue cycle teams, compliance, finance, and operational leaders to ensure coding accuracy and regulatory compliance.
- Support onboarding of new hospitals and physician groups, including potential onsite education and training.
- Assist with adoption and optimization of emerging technologies and AI-driven coding tools.
- Serve as a coding resource and regulatory expert for providers and clinical staff.
- AAPC Certified Professional Coder (CPC) or equivalent professional coding certification required.
- 3–5 years of Professional Fee (ProFee) coding experience.
- Strong auditing and physician education experience.
- Expertise in:
- Evaluation & Management (E/M) coding and leveling
- Medical Decision Making (MDM) calculations
- CPT, HCPCS, and payer guidelines
- Documentation review and coding compliance
- Experience presenting coding findings and defending coding decisions with physicians.
- Strong communication, presentation, and relationship-building skills.
- Experience with Epic and coding/revenue cycle systems (3M preferred).
- Advanced Microsoft Office and presentation development skills.
- Multi-specialty coding experience, including primary care, OB/GYN, and specialty practices.
- Revenue Integrity or Charge Capture background.
- Experience supporting large healthcare systems.
- Exposure to AI-enabled coding solutions and workflow automation.
- Prior educator, trainer, or physician-facing consulting experience.
The successful candidate is a strong coder–educator hybrid who can confidently engage physicians, present to audiences of all sizes, and drive coding accuracy across a complex health system. They possess a strong personality, can navigate varied physician communication styles, and are comfortable influencing change through education, audits, and data-driven recommendations.
Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.
Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy
Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6 months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.
Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.
UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.
© 2026 Everforth, Inc. All rights reserved.
Everforth Apex Systems is part of the Commercial Segment of Everforth, Inc.
NYSE: EFOR
4400 Cox Road
Suite 200
Glen Allen, Virginia 23060
Everforth Apex is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. (Do not submit resumes or solicit consultants to this email address). UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex.
Salary : $65,000 - $75,000