Network Coordinator, Coding Audit & Education

sluhn; Allentown (Lehigh County); On-site; USD 75,000 - 90,000; Full time

Job summary

St. Luke's University Health Network seeks a Network Coordinator, Coding Audit & Education to ensure data quality and compliance across coding activities.

You will audit Professional Coding staff, validate ICD-10-CM/PCS, CPT/HCPCS coding, DRG/APC assignments, and related documentation, driving accuracy and reimbursement integrity. The role collaborates with Coding Management and Compliance, develops audit summaries and education materials, supports onboarding, and participates in external audits

Qualifications

• Must have 5 years of coding experience.
• Auditing/education techniques preferred.
• Credentialed in AHIMA/AAPC certifications and ICD-10 coding standards.

Responsibilities

• Coding audits of Professional Coding staff per regulatory requirements and guidelines.
• Review and validate coded medical records for accuracy and compliance.
• Analyze audit results to identify trends, risks, and improvement opportunities.
• Develop audit summaries, reports and tracking tools for leadership review.
• Provide targeted audit-driven education to coding staff and teams.

Skills

Coding audits

Regulatory compliance

Data analysis

Education delivery

Documentation accuracy

Education

AHIMA/AAPC certs

Tools

Encoder/Grouper software

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Network Coordinator, Coding Audit & Education

Reviews/validates coded medical records of Professional Coding (PC) staff to determine data quality and accuracy of coding, billing and documentation related to ICD-10, PCS, DRGs.CPT, APC's, and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements.

Job Duties and Responsibilities

• Coding audits of Professional Coding staff in accordance with regulatory requirements, official coding guidelines, and Network audit standards.
• Reviews and validates coded medical records to assess coding accuracy, documentation integrity, compliance risk, and reimbursement impact related to ICD-10-CM/PCS, CPT/HCPCS, DRG/APC assignment, modifiers, and applicable payment methodologies.
• Analyzes audit results to identify trends, patterns, and areas of risk or opportunity, including recurring errors, documentation gaps, and compliance vulnerabilities across the hospital system.
• Develops audit summaries, reports, and tracking tools to communicate findings, monitor improvement over time, and support leadership review and decision-making.
• Provides targeted, audit-driven education and training to Professional Coding staff, including one-on-one feedback and department-level education based on validated audit findings.
• Collaborates with Coding Management and Compliance to recommend corrective actions, process improvements, and risk mitigation strategies based on audit outcomes.
• Supports onboarding and ongoing education of coding staff by contributing audit-based insights, educational materials, and coding guidance aligned with official standards and Network expectations.
• Participates in external audit activities, including preparation, review, validation of findings, and assistance with response development, in collaboration with Coding Management and Compliance.
• Promotes accurate, compliant documentation and coding practices through consistent application of coding principles, official guidelines, and regulatory requirements.

Physical and Sensory Requirements

Sitting up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use for retrieving/viewing computerized patient medical records and abstracting information. Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, hours at a time. Hearing as it relates to normal conversation. Seeing as it relates to general vision, peripheral vision and visual monotony. Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with downtime policy; or use wheel cart.

Education

Must maintain and be credentialed in at least ONE of the following AHIMA and/or AAPC recognized Professional Coding Certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS/CPT Official Guidelines, Outpatient Prospective Payment System and Coding Clinic References. Current working knowledge of encoder/grouper. Strong analytical and communication skills.

Training and Experience

5 years of coding experience required. Experience in auditing education techniques and methods preferred, but not required.

St. Luke's University Health Network is an Equal Opportunity Employer.