Documentation & Coding Auditor - Billing Compliance

Texas Tech University - Health Sciences Center; Lubbock (TX); On-site; USD 44,000 - 99,000; Full time

Job summary

Texas Tech University Health Sciences Center seeks a compliance coding professional to perform proactive audits, educate staff, and reduce billing risks. The role emphasizes collaboration with providers, residents, and coding staff to maintain high standards of documentation and reimbursement accuracy.

The position requires a high school diploma, five years of coding/reimbursement experience, and active certification (AAPC/AHIMA).

Qualifications

• High School graduate with five years of coding and reimbursement experience.
• Active professional coding certification (AAPC or AHIMA) required and current.
• Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.

Responsibilities

• Plan and perform proactive compliance activities, including risk-based audits and pre-bill or concurrent reviews.
• Identify and address billing compliance risks before issues escalate.
• Collaborate with departments to assess and reduce risks when new services or tools are implemented.
• Maintain or contribute to tracking tools and dashboards for audits and education.
• Prepare and present findings to appropriate staff and stakeholders.
• Support in annual compliance activities and risk assessments.

Skills

Coding audits

Audit feedback

Documentation

Education

AAPC or AHIMA certification

Job description

Introduction

Nationally recognized as a Great College to Work For ,TTUHSC provides much more than just a job! Enjoy excellentbenefits , including paid leave,retirement plans, wellness programs, health insurance and so muchmore. Ready to start building a rewarding career in a positiveenvironment where you can develop and thrive? Join us as wechange the future of health care.

About TTUHSC

Texas Tech University Health Sciences Center is enriching the livesof others by educating students, providing excellent patient care,and advancing knowledge through innovative research. TTUHSCgraduates more health care professionals than any other health careinstitution in the state, conferring 24.2% of all degrees andcertificates awarded from health-related institutions in Texas. Byproviding comprehensive clinical services to more than 10 millionindividuals across 121 counties, TTUHSC is dedicated to advancingthe health of people throughout Texas and beyond. This is whereworld-class education meets compassionate patient care – and webelieve that our people are the reason for our institution’slasting success and bright future.

Being part of the TTUHSC team means being part of an innovative andsupportive community that empowers each individual to do their bestwork. Through our values-based culture , TTUHSC iscommitted to cultivating an exceptional workplace community with apositive culture that puts people first.

Visa Information

TTUHSC, at its sole discretion, may initiate new H-1B I-129 visapetitions in accordance with the directive issued by GovernorAbbott. Approval from the Texas Workforce Commission is required.On a limited, case-by-case basis, the institution may also sponsoreligible individuals for change-of-status or change-of-employerpetitions for qualifying positions. TTUHSC will not pay the$100,000 fee, if applicable.

Position Description

Performs coding and documentation quality audits, provides feedbackto coding and reimbursement specialists, coders, and educates them.This job has no supervisory responsibilities.

Major/Essential Functions

• Plan and perform proactive compliance activities, includingrisk-based audits, pre-bill or concurrent reviews, data monitoring,targeted education, policy or template reviews, and departmentconsultations.
• Identify and address billing compliance risks before issuesescalate by using audit trends, payer updates, denial patterns,regulatory changes, stakeholder feedback, and risk assessmentresults.
• Partner with departments before new services, workflows,locations, provider groups, or documentation tools are implementedto assess and reduce billing, coding, documentation, supervision,and reimbursement risks.
• Maintain or contribute to tracking tools, such as issue logs,risk registers, work plan trackers, audit dashboards, correctiveaction trackers, education trackers, consultation logs, andreporting calendars.
• Prepare and present ideas, findings, and information toappropriate staff.
• Work collaboratively with providers, residents, coding staff,clinic administrators, leadership, and other stakeholders.

Occasional Duties

• Assist in annual Compliance Symposium.
• Participate in annual risk assessment and work plandevelopment.

Required Qualifications

High School graduate or equivalency and five (5) years of codingand reimbursement experience of which one (1) year may be as acoding auditor. Additional job-specific education may substitutefor the experience.

Active professional coding certification from an accreditedorganization, e.g., American Association of Professional Coders(AAPC), American Health Information Management Association (AHIMA).Certification to remain current during term of employment.Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.

Preferred Qualifications

• Experience conducting risk-based and retrospectivedocumentation and coding audits.
• Experience in an academic medical center, physician grouppractice, hospital, or other complex healthcare organization.
• Experience developing and delivering documentation, coding, andbilling compliance education to physicians, advanced practiceproviders, residents, coders, and other staff.
• Experience preparing formal audit reports, identifying rootcauses, recommending corrective actions, and conducting follow-upmonitoring.

Required Attachments

Cover Letter, Resume / CV

Optional Attachments

Professional License/Certification

Benefits

TTUHSC is committed to creating an environment where our teammembers can do their best work, with programs and benefits to support head-to-toe well-being.Explore just a few of the advantages of being a TTUHSC team member:

• Health Plans + Supplemental Coverage Options –Individual health insurance provided at no cost for full-time teammembers
• Paid Time Off – Including holidays, vacation, sick leaveand more
• Retirement Plans
• Wellness Programs
• Certified Mother-Friendly Workplace

Additionally, TTUHSC invests in the success of our team members byproviding opportunities for personal and professional growth,including lifelong learning programs, recognition programs, andhealth and wellness initiatives. Team members also enjoy a varietyof other perks, such as special membership rates at local gyms andgolf courses, access to state-of-the-art software and facilities,and discounts on travel, technology, entertainment and more.

Job Type

Full Time

Pay Basis

Hourly

Pay Grade Minimum

21.28

Pay Grade Maximum

47.67

Pay Statement

Compensation is commensurate upon the qualifications of theindividual selected and budgetary guidelines of the hiringdepartment, as well as the institutional pay plan. For additionalinformation, please reference the institutional pay plan website at https://app4.ttuhsc.edu/payplan .

Grant Funded?

No

Travel Required

Up to 25%

Shift

Day

Does this position work in a research laboratory?

No

EEO Statement

All qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sex, national origin, age,disability, genetic information or status as a protectedveteran.

Jeanne Clery Act

The Jeanne Clery Disclosure of Campus Security Policy and CampusCrime Statistics Act is a federal statute requiring colleges anduniversities participating in federal financial aid programs tomaintain and disclose campus crime statistics and securityinformation. By October 1 of each year, institutions must publishand distribute their Annual Campus Security Policy & CrimeStatistics Report (ASR) to current and prospective students andemployees. To view this report, visit the TTUHSC Clery Act websiteat https://www.ttuhsc.edu/compliance/clery-report.aspx .