Documentation & Coding Auditor - Billing Compliance

VetJobs

Lubbock (TX)

On-site

USD 45,000 - 60,000

Full time

3 days ago
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Job summary

VetJobs is seeking a Compliance Specialist to perform coding and documentation quality audits and educate staff. This position has no supervisory responsibilities and is based in Lubbock, TX, with a salary range of $45,000–$60,000.

The role requires a High School/GED and five years of coding/reimbursement experience, plus active AAPC or AHIMA certification. Knowledge of CPT/HCPCS is essential, with prior experience in a healthcare setting preferred.

Qualifications

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

Responsibilities

  • Plan and perform proactive compliance audits, pre-bill or concurrent reviews, and targeted education.
  • Identify and address billing and coding risks using audit trends and payer updates.
  • Collaborate with departments before new services or workflows are implemented to reduce risks.

Skills

Auditing
Coding compliance
Documentation quality
Education delivery

Education

High School/GED

Job description

Job Description

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

Job Description

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

Auto req ID
485962BR

Minimum Education Required
High School/GED

Required Experience
High School graduate or equivalency and five (5) years of coding and reimbursement experience of which one (1) year may be as a coding auditor. Additional job-specific education may substitute for the experience. Active professional coding certification from an accredited organization, 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. Additional job‑specific education may substitute for the experience.

Preferred Experience
  • Experience conducting risk‑based and retrospective documentation and coding audits.
  • Experience in an academic medical center, physician group practice, hospital, or other complex healthcare organization.
  • Experience developing and delivering documentation, coding, and billing compliance education to physicians, advanced practice providers, residents, coders, and other staff.
  • Experience preparing formal audit reports, identifying root causes, recommending corrective actions, and conducting follow‑up monitoring.
Additional Qualifications/Responsibilities
  • Plan and perform proactive compliance activities, including risk‑based audits, pre‑bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations.
  • Identify and address billing compliance risks before issues escalate by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk assessment results.
  • Partner with departments before new services, workflows, locations, provider groups, or documentation tools are implemented to 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, corrective action trackers, education trackers, consultation logs, and reporting calendars.
  • Prepare and present ideas, findings, and information to appropriate staff.
  • Work collaboratively with providers, residents, coding staff, clinic administrators, leadership, and other stakeholders.
City*

Lubbock

State*

Texas

Job_Category

Clinical/Compliance

Job Code

Compliance_Specialist Compliance

Affiliate Sponsor

Texas Tech University Health Sciences Center

Salary Range

$45,000-$60,000

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