Documentation & Coding Auditor

Texas Tech University Health Sciences Center; Lubbock (TX); Hybrid; USD 68,880,000 - 103,320,000; Full time

Job summary

The Texas Tech University Health Sciences Center is seeking a Documentation & Coding Auditor to conduct medical billing coding and documentation quality audits. In this role, you will provide essential feedback to coding specialists and work collaboratively within the team. This position requires strong problem-solving skills and an active professional coding certification.

An ideal candidate will have at least five years of experience in medical billing coding and reimbursement, along with knowledge in CPT, ICD-CM, and related coding systems. You will also be responsible for participating in compliance symposiums and conducting annual risk assessments.

Qualifications

• Five years of medical billing coding and reimbursement experience.
• Knowledge of multiple coding nomenclatures.
• Ability to present ideas clearly and work collaboratively.

Responsibilities

• Perform medical billing coding and documentation quality audits.
• Provide feedback to coding and reimbursement specialists.
• Participate in compliance symposium and annual risk assessment.

Skills

Medical billing coding certification

Excellent communication skills

Problem-solving skills

Time management skills

Education

High School graduate or equivalent

Active professional coding certification

Tools

CPT, ICD-CM, ICD-10, HCPCS knowledge

Job description

Documentation & Coding Auditor

Performs medical billing coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.

Travel Required: Up to 25%

Pay Basis: Hourly

Location: Amarillo

Shift: Day

Major/Essential Functions

• Current and active professional medical billing coding certification required from an accredited organization.
• Billing and coding experience in a multi‑specialty group practice and/or academic practice setting is preferred.
• Five or more years of health care items/services.
• Managerial/supervisory and program management implementation experience strongly preferred.
• Ability to initiate administrative activities as necessary.
• Excellent oral and written communication skills.
• Ability to write and present ideas and information in a concise manner.
• Ability to work collaboratively with all individuals.
• Professional bearing, sound business judgment and persuasive skills.
• Strong problem‑solving skills, self‑starter, ability to function with little face‑to‑face, daily supervision.
• Ability to deal with stressful situations, works collaboratively to address complex and sensitive issues.
• Excellent time management skills and attention to detail are a must.
• Must successfully pass a criminal background check and not be listed on the HHS OIG, Texas Medicaid, GSA or any other government exclusion lists.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals and the ability to compute rates, ratios, percentages, and to draw and interpret bar graphs is preferred.

Occasional Duties

• Assist in annual Compliance Symposium.
• Participate in annual risk assessment and work plan development.
• Travel to Lubbock for staff meetings, work‑plan development meetings, and other functions. Usually two to three trips per year; may include overnight stay.

Required Qualifications

• High School graduate or equivalency and five (5) years of medical billing coding and reimbursement experience, of which at least one (1) year may be as a coding auditor.
• Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC) or American Health Information Management Association (AHIMA); certification must remain current during the term of employment.
• Knowledge of CPT, ICD‑CM, ICD‑10, and HCPCS nomenclature.
• Experience in health care billing and coding is required; additional job‑specific education may substitute for the experience.

EEO Statement: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.