Compliance Coding & Audits Specialist

University Health; San Antonio (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

University Health seeks a Coding Specialist within the SIU framework to conduct audits, analyze coding and documentation for compliance, and identify potential provider overpayments. The role involves data collection, report generation, and staff education on investigation findings.

Strong knowledge of ICD-10-CM/DRG assignment and CPT4 coding is required, with five years of related experience or two years with a coding certification program. Proficiency in Microsoft Office is expected.

Qualifications

• Must know ICD-10 and CPT4 coding conventions.
• Experience auditing charts and reviewing eligibility and claims.
• Proficiency with Microsoft Office applications.

Responsibilities

• Conduct audits to assess coding accuracy and documentation quality.
• Identify overpayments and report findings to regulators or payers.
• Educate staff on coding, investigations, and audit results.

Skills

Data collection

Statistical report generation

Auditing

Research

ICD-10-CM/DRG knowledge

CPT4 coding

Microsoft Office

Education

High school diploma

Certified Coding Program or Health Information Management Program

Job description

University Health seeks a Coding Specialist within the SIU framework to conduct audits, analyze coding and documentation for compliance, and identify potential provider overpayments. The role involves data collection, report generation, and staff education on investigation findings.

Strong knowledge of ICD-10-CM/DRG assignment and CPT4 coding is required, with five years of related experience or two years with a coding certification program. Proficiency in Microsoft Office is expected.