Medical Educator Coding and Auditor

University Health; San Antonio (TX); On-site; USD 70,000 - 100,000; Full time

Job summary

University Health in San Antonio, Texas, seeks a Coding Educator & Auditor to lead coding education and audits across ER, ambulatory surgery, and inpatient services. You will ensure accurate ICD-10-CM and CPT coding while training new staff and upholding guest relations standards.

The role requires strong knowledge of coding rules and regulatory guidelines, with collaboration across clinical, IT, and financial teams to support excellence in patient care.

Qualifications

• Associate degree and completion of a coding program (AHIMA/AAPC).
• Minimum 5 years coding experience for external applicants.
• 4 years of pro-fee, outpatient/ambulatory, and inpatient coding for internal applicants.
• Experience with 3M Encoding and Grouping software.

Responsibilities

• Perform coding education and audits for ER, ambulatory surgery, and inpatient services.
• Ensure proper ICD-10-CM and CPT coding assignments.
• Train new Coding Specialists, Technicians, and Associates.
• Promote the Health System's guest relations policy.
• Comply with CMS, AHRQ, NCQA, URAC, and TJC regulations.

Skills

ICD-10-CM knowledge

CPT coding knowledge

Regulatory knowledge

Training capabilities

Education

Associate's degree

AHIMA/AAPC coding program

Bachelor's degree

RHIT/RHIA/RN licensure

Tools

3M Encoding and Grouping

Epic EMR

Microsoft Office

Job description

Exciting Opportunity: Medical Educator Coding and Auditor at University Health in San Antonio!

Are you ready to make an impact in healthcare and be part of a nationally recognized, top-tier health system? University Health in San Antonio, Texas, is seeking a dynamicMedical Educator Coding and Auditor to join our outstanding team. This position offers an exciting chance to work at one of the most innovative and award-winning hospitals in the region.

Why University Health?

• Top 10% in the Nation for clinical excellence, recognized by U.S. News & World Report.
• Magnet Recognized Hospital - the highest national honor for nursing excellence.
• A Leader in Patient Care - providing exceptional healthcare to our community with compassionate service.
• Top-Tier Benefits - comprehensive health plans, generous paid time off, tuition reimbursement, and more!
• Cutting-Edge Technology - work with the Epic EHR system and collaborate with experts across clinical, IT, and financial departments.
• A Culture of Collaboration - join a team committed to high-quality service and patient care.

What You'll Do:

The Coding Educator & Auditor works under the Coding Education & Audit Manager to perform coding education and audits for various services, including emergency room, ambulatory surgery, and inpatient admissions. The role ensures accurate diagnosis and procedure coding using ICD-10-CM and CPT systems, and trains new coding staff. They promote the Health System's guest relations policy and ensure compliance with regulations from bodies such as CMS, AHRQ, and TJC. This position requires strong knowledge of coding practices, regulations, and healthcare standards.

Position Summary/Responsibilities:

• Work under the direct supervision of the Coding Education & Audit Manager.
• Perform coding education and audits for various services:
  • Basic ancillary services
  • Emergency Room services
  • Hospital Observation
  • Ambulatory surgery
  • Inpatient Admission
• Utilize ICD-10-CM and CPT coding classification systems to ensure proper assignment and completion of diagnosis and procedure coding on all cases.
• Train new Coding Specialists, Technicians, and Associates.
• Promote the Health System's guest relations policy.
• Comply with all relevant Federal, State, local, and accrediting bodies' regulations and protocols, including:
  • Centers for Medicare and Medicaid Services (CMS)
  • Agency for Healthcare Research and Quality (AHRQ)
  • National Committee for Quality Assurance (NCQA) promoting HEDIS metrics
  • Utilization Review Accreditation Commission (URAC)
  • The Joint Commission (TJC)

Education and Experience:

• Required:
  • Associate's degree.
  • Completion of a coding program (e.g., AHIMA, AAPC).
• Preferred:
  • Associate's degree in Health Information Management or Bachelor's degree.
  • At least 5 years of coding experience in professional services, hospital services, or both (for external applicants).
  • At least 4 years of pro-fee, outpatient/ambulatory, and inpatient coding experience (for internal applicants).
  • Experience with 3M Encoding and Grouping software.
  • Knowledge of regulatory requirements, Microsoft Office products, and Epic EMR preferred.

Licensure/Certification:

• Maintain a valid credential from one of the following accrediting bodies:
  • AHIMA
  • AAPC
• Licensure from other licensing bodies may be accepted on a case-by-case basis with managerial approval.

• Preferred Licensure:
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
  • Registered Nurse (RN)

Why Join Us? At University Health, you'll be part of an organization that is dedicated to excellence, innovation, and collaboration. We believe in empowering our employees to succeed and grow - whether that's advancing your career or enhancing your professional skills. Working at University Health means making a real difference in the lives of our patients and community.

University Health – Excellence in Patient Care, Excellence in Your Career.