Physician Educator, MD – Evaluation & Management Coding

About the role

The PHI Physician Educator, MD provides physician‑focused education on Evaluation & Management (E/M) coding, Medical Decision Making (MDM), and coding compliance. Acting as a trusted clinical and coding resource, the educator uses audit findings and industry guidelines to improve documentation quality, coding accuracy, and reimbursement integrity.

Key responsibilities

• Deliver education and training on E/M documentation, MDM requirements, medical necessity, ICD‑10, and CPT coding guidelines.
• Conduct provider education based on coding audits, documentation trends, and identified compliance risks.
• Educate physicians on documentation that supports appropriate E/M levels, moderate versus high‑complexity MDM, prescription drug management, and risk assignment.
• Provide specialty‑specific guidance to improve documentation accuracy and coding compliance.
• Utilize de‑identified audit examples to illustrate strengths and improvement opportunities.
• Collaborate with Coding, Compliance, and Operational teams to address coding disputes and documentation concerns.
• Serve as a subject‑matter expert and resource for physicians regarding clinical documentation and coding best practices.

Required profile

• Doctor of Medicine (MD) with an active, unrestricted medical license.
• Required certification: AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist‑Physician (CCS‑P).
• Strong knowledge of E/M coding guidelines, Medical Decision Making, ICD‑10‑CM, CPT, and documentation requirements.
• Experience in physician education, clinical documentation improvement, coding compliance, or medical auditing is preferred.
• Excellent communication, presentation, and stakeholder‑engagement skills.

Required skills

• E/M coding
• Medical Decision Making (MDM)
• ICD‑10‑CM
• CPT coding
• Coding compliance
• Medical auditing