Coding Education & Compliance Consultant

UT Health San Antonio; San Antonio (TX); Hybrid; USD 60,000 - 85,000; Full time

Job summary

UT Health San Antonio seeks a qualified professional to assist with analyzing medical record documentation against billing guidelines. Responsibilities include conducting quality reviews, resolving coding denials, and educating departments on proper documentation to support services.

The role requires at least five years of relevant experience, strong knowledge of ICD-10 and CPT coding, and the ability to work in a collaborative, confidential environment within a hybrid San Antonio location.

Qualifications

• Knowledge of Federal, State and Payer regulations required.
• Proficiency in ICD-10 and CPT coding required.
• Strong leadership and decision-making abilities.
• Ability to manage multiple responsibilities and collaborate with teams.
• Excellent verbal and written communication and attention to detail.

Responsibilities

• Conduct quality reviews of coding activities ensuring documentation supports coding rules and billing standards.
• Research and resolve coding-related denials.
• Review services in charge review to identify coding issues and trends.
• Recommend policy changes to improve coding and data management.
• Maintain confidentiality in daily work and protect information integrity.
• Provide feedback to providers to minimize errors and denials.
• Develop and deliver training on documentation, billing, and coding guidelines.
• Educate end users and staff on coding and documentation requirements.
• Report compliance issues and collaborate with Compliance on corrective actions.
• Serve as a coding resource within departments and specialties.
• Perform other duties as assigned.

Skills

Regulatory knowledge

ICD-10 & CPT coding

Leadership

Multi-tasking

Communication skills

Detail orientation

Education

High school diploma or GED

Job description

UT Health San Antonio seeks a qualified professional to assist with analyzing medical record documentation against billing guidelines. Responsibilities include conducting quality reviews, resolving coding denials, and educating departments on proper documentation to support services.

The role requires at least five years of relevant experience, strong knowledge of ICD-10 and CPT coding, and the ability to work in a collaborative, confidential environment within a hybrid San Antonio location.