HIM Audit & Education Specialist: Coding & Compliance

Hartford HealthCare; Farmington (CT); On-site; USD 85,000 - 110,000; Full time

Job summary

Hartford HealthCare is seeking an Audit & Education Specialist to develop and implement an effective audit and education program for coding in line with regulatory standards. The role reports to the Manager of Audit and Education and involves training providers and staff on CMS evaluation and management coding guidelines.

The position emphasizes on-site auditing, data analysis, and continuous education to improve documentation and coding accuracy across Hartford HealthCare facilities in

Qualifications

• Medical Coding License required and CPT/HCPCS/ICD-10 knowledge.
• Five years’ experience with CPT/HCPCS/ICD-10 coding conventions.
• Experience with Medicaid/Medicare and third-party billing compliance.
• Experience with education and provider training.
• Strong communication and project management skills.
• Experience with data analysis and documentation improvements.

Responsibilities

• Perform revenue opportunity assessment and execute the audit work plan.
• Analyze audit results and develop education for providers and staff.
• Create documentation templates for specialty/client needs.
• Research CMS/HHS guidance to stay current on regulations.
• Identify coding issues and drive knowledge transfer and testing.

Skills

Medical coding expertise

Education/training

Communication skills

Project management

Regulatory knowledge

Education

Medical Coding Certification (CPC, CCS-P, CCS)

CRC preferred

Baccalaureate degree preferred

Tools

Word

Excel

PowerPoint

Epic

Job description

Hartford HealthCare is seeking an Audit & Education Specialist to develop and implement an effective audit and education program for coding in line with regulatory standards. The role reports to the Manager of Audit and Education and involves training providers and staff on CMS evaluation and management coding guidelines.

The position emphasizes on-site auditing, data analysis, and continuous education to improve documentation and coding accuracy across Hartford HealthCare facilities in