Coding Auditor & Educator

CommonSpirit Health; United States; Teletrabalho; USD 49 000 - 81 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical plans

Dental plan

Tuition reimbursement

Retirement plan

Resumo da oferta

CommonSpirit Health is seeking a Coding Auditor & Educator to support the Coding Service Center with advanced ICD-10-CM, ICD-10-PCS, and CPT-4 coding. You will onboard and train staff, audit coding, deploy education, and monitor regulatory changes while collaborating with leadership to drive standardized, compliant practices across the system.

The role emphasizes expert coding proficiency, strong auditing analytics, and clear communication to standardize practices and ensure compliance.

Qualificações

• Five years coding experience in acute care inpatient and outpatient
• Two years experience in internal auditing and/or coding education
• Current AHIMA or AAPC credentials
• Epic and 3M 360 experience
• High School Diploma or GED

Responsabilidades

• Provide written rationale and evidence for audit findings
• Deliver educational feedback via emails, presentations, and sessions
• Guide coding staff and management in resolving coding issues
• Identify documentation improvement opportunities impacting coding accuracy
• Perform internal audits and follow-up coding education across the system
• Conduct pre-billing reviews and audits for difficult-to-code cases

Conhecimentos

Auditing

Educational delivery

Regulatory compliance

Coding accuracy

Formação académica

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

AAPC credentials (COC/CIC/CPC/CPCH)

Ferramentas

Epic

3M 360

Descrição da oferta de emprego

Coding Auditor & Educator

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

The posted compensation range of $35.70 - $58.91 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

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.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.