Compliance Coding Auditor / Educator

Trinity Health Mid-Atlantic; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

Trinity Health IHA Medical Group in Michigan is seeking a Compliance Coding Auditor-Educator to serve as SME and liaison for offices and Revenue Department, ensuring proper CPT, ICD and HCC coding procedures and workflow.

You will lead audits, report results, provide one-on-one education to providers, and deliver CPT/ICD/HCC training across the network, supporting accurate reimbursement and compliant medical records.

Qualifications

• Bachelor's degree or equivalent required.
• Certified Professional Coder (CPC) or RHIT credential required; Auditor of HIM designation preferred.
• Minimum 2 years of coding, reimbursement analysis, insurance issue resolution and medical record auditing.
• Experience with primary and multi-specialty care preferred.
• Health Information Management and data management experience is highly desirable.

Responsibilities

• Develops and leads audit projects for medical record integrity.
• Reports audit results utilizing a standard reporting process.
• Identifies new errors during audits, investigates root cause.
• Performs one-on-one audit meetings and provides corrective educational guidance.
• Maintains knowledge of insurance, CPT coding and diagnosis guidelines; provides training on CPT, ICD10 and HCC coding standards and procedures.

Skills

CPT coding

ICD coding

HCC coding

Audit experience

Education

Bachelor's degree or equivalent

RHIT credential

CPC or RHIT certification

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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we' re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.