Medical Coding Educator & QA Auditor

Cape Cod Healthcare Inc.; Hyannis (MA); On-site; USD 90,000 - 110,000; Full time

Job summary

Cape Cod Healthcare, Inc. seeks an experienced Coding Auditor and Educator to lead inpatient and outpatient record audits, ensuring ICD-9/ICD-10 accuracy and compliance.

The role includes educating the coding staff, developing training materials, and aligning practices with AHIMA standards. Responsibilities include conducting educational sessions, reviewing third-party findings, and advising on physician documentation to improve hospital data quality.

Qualifications

• Minimum of 5 years inpatient coding experience in an acute care facility.
• AHIMA CCS credential and AHIMA ICD-10 Trainer certification required.
• Excellent communication skills and ability to educate staff.
• Outpatient coding experience preferred.
• Proficient with Word and Excel; able to develop training materials.

Responsibilities

• Perform inpatient and outpatient medical record audits for accurate diagnoses and procedures per coding guidelines and regulations.
• Provide feedback to Sr. Coding Manager on potential compliance issues.
• Educate coders on validation findings to improve coding knowledge.
• Lead educational sessions on new coding guidelines and billing regulations.
• Develop curriculum and training materials for ICD-9-CM/ICD-10-CM and CPT coding.
• Revise best-practice coding policy recommendations.
• Assess physician documentation and suggest coding strategies to improve data quality.
• Review third-party audit findings and provide educational guidance to coders.
• Offer coding support and answer questions for Patient Financial Services and others.
• Maintain up-to-date knowledge of coding and reimbursement rules; manage modifiers and edits.
• Stay current in coding areas through continuing education units.

Education

AHIMA CCS credential

AHIMA ICD-10 Trainer

AHIMA RHIT or RHIA preferred

Tools

Siemens Soarian

3M coding software

Microsoft Word

Microsoft Excel

Job description

Cape Cod Healthcare, Inc. seeks an experienced Coding Auditor and Educator to lead inpatient and outpatient record audits, ensuring ICD-9/ICD-10 accuracy and compliance.

The role includes educating the coding staff, developing training materials, and aligning practices with AHIMA standards. Responsibilities include conducting educational sessions, reviewing third-party findings, and advising on physician documentation to improve hospital data quality.