Compliance Coding Auditor & Educator — CPT/ICD/HCC Expert

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

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.