Compliance Coding Auditor / Educator

IHA; Ann Arbor (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

Trinity Health IHA Medical Group is seeking a Compliance Coding Auditor-Educator to serve as the subject matter expert for CPT, ICD and HCC coding across IHA offices. You will lead audits, report results, and provide corrective educational guidance to staff and providers.

The role requires a bachelor’s degree and coding credentials (CPC or RHIT), with at least two years of experience in coding, reimbursement analysis, and medical record auditing.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• Certified Professional Coder (CPC) or RHIT is required; Certified Auditor of HIM designation preferred.
• Minimum 2 years of coding, reimbursement analysis, insurance issue resolution and medical record auditing experience; multi-specialty experience preferred.

Responsibilities

• Develops and leads audit projects for medical record integrity.
• Reports audit results using a standard process.
• Identifies errors, investigates root causes and provides corrective education.
• Conducts one-on-one audit meetings and educates providers on CPT, ICD-10 and HCC coding.
• Maintains knowledge of insurance, CPT and diagnosis guidelines.

Skills

CPT coding

ICD coding

HCC coding

Education

Bachelor's degree or equivalent

Job description

Employment Type

Full time

Shift

Day Shift

Description

Trinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding.

What You'll Do

• Develops and leads audit projects for medical record integrity.
• Repots audit results utilizing a standard reporting process.
• Identifies new errors while performing audits, investigates and assesses root cause.
• Performs one-on-one Audit meetings and providers for corrective educational guidance.
• Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelines
• Provides training for IHA staff and providers on CPT, ICD10 and HCC coding standards and procedures.

General Requirements

• EDUCATION: Bachelor’s degree or equivalent combination of education and experience.
• CREDENTIALS/LICENSURE: Certified Professional Coder or RHIT is required, Certified Auditor of HIM designation is preferred.
• MINIMUM EXPERIENCE: 2 years of experience coding, reimbursement analysis, insurance issue resolution and medical record auditing. Previous experience with primary and multi-specialty care preferred. Health Information Management and data management experience is highly desirable.

Why Join Trinity Health IHA Medical Group?

• Day-one benefits for eligible team members with no waiting period.
• Opportunities for career growth and professional development.
• Supportive, team-oriented workplace culture.
• Meaningful work helping patients access the care they need.
• A mission-driven organization serving communities across Southeast Michigan.

At Trinity Health IHA Medical Group, we are committed to delivering outstanding patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you're passionate about helping others and providing exceptional customer service, we'd love to hear from you.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.