Coding Auditor & Educator

CommonSpirit Health; Centennial (CO); Remote; USD 90,000 - 130,000; Full time

Job summary

CommonSpirit Health is seeking a Coding Auditor & Educator to apply ICD-10-CM, ICD-10-PCS, and CPT-4 coding across hospital and system-wide settings. You will onboard and educate staff, conduct audits, and implement regulatory coding changes, collaborating with the Coding Service Center leadership to standardize practices nationwide.

You will also develop and deploy coding education, provide actionable audit rationale, and guide staff through complex coding questions while supporting strategic

Qualifications

• High School Diploma/GED.
• Current AHIMA credentials (RHIA/RHIT/CCS/CCSP/RCC) or AAPC credentials (COC/CIC/CPC/CPCH).
• Five years coding experience in acute care coding for inpatient and outpatient care.
• Two years internal auditing and/or coding education experience.
• Epic and 3M 360 experience.
• Inpatient and outpatient coding knowledge and guidelines.

Responsibilities

• Provide written rationale and evidence for audit findings.
• Deliver educational feedback to coding staff via emails, presentations, and sessions.
• Guide staff and management in resolving coding issues and questions.
• Identify documentation improvement opportunities affecting coding accuracy.
• Perform internal audits and follow-up education, monitor system trends.
• Conduct pre-billing reviews of challenging cases and train new staff.

Skills

Coding proficiency

Auditing

Educational abilities

Education

AHIMA credentials (RHIA/RHIT/CCS/CCSP/RCC)

AAPC credentials (COC/CIC/CPC/CPCH)

Tools

Epic

3M 360

Job description

Job Summary and Responsibilities

As our Coding Auditor & Educator, you will utilize advanced ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems to support the facility and Coding Service Center, answer coding questions, and promote standardized, compliant coding practices.
Every day you will onboard and train new staff, perform coding audits, develop and deploy coding education, monitor and communicate regulatory coding/billing changes, and participate in strategic planning. You will work closely with the Coding Service Center leadership team to perform internal audits and deliver follow-up education across the system.
To be successful in this role, you will possess expert-level coding proficiency, strong analytical skills for auditing, exceptional educational and communication abilities, and a proven capacity to standardize practices, ensure compliance, and strategically contribute to coding and regulatory billing. This role is open to remote candidates in approved states.

• Provides written, detailed rationale and supporting evidence for recommendations on audit findings.
• Delivers educational feedback to coding staff regarding audit findings in the form of emails, development of PowerPoint presentations, and education sessions with the coding staff.
• Provides guidance to coding staff and management in identifying and resolving coding issues and answering coding questions.
• Identifies documentation improvement opportunities that impact coding accuracy.
• Responsible for performing internal audits and followup education, monitoring trends throughout the system.
• Performs prebilling reviews of specific types of cases deemed difficult to code and prone to error, performs coding audits, and trains new coding staff, monitoring performance and providing feedback, as needed.

Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:

• Alabama-Arizona-Arkansas- Colorado
• Florida- Georgia-Idaho- Indiana
• Iowa- Kansas -Kentucky- Louisiana
• Missouri-Mississippi-Nebraska- New Mexico
• North Carolina-Ohio-Oklahoma- South Carolina
• South Dakota-Tennessee-Texas- Utah
• Virginia-West Virginia-Wyoming

Job Requirements

Required

• High School Diploma/GED
• Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCSP RCC) or AAPC credential (COC, CIC, CPC, CPCH)
• Five (5) years coding experience in an acute care setting coding all types of hospital visits/admits with a high degree of skill in inpatient and outpatient expertise
• Two (2) years experience in internal auditing and/or coding education
• Epic and 3M 360 experience
• Must demonstrate competency of inpatient and outpatient coding and guidelines

Preferred

• Associate's Degree or equivalent work experience in lieu of degree
• Multihealthcare setting experience

Where You'll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.