Outpatient Coding Compliance Auditor & Educator

The University of Texas Southwestern Medical Center; Dallas (TX); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

PPO medical plan

100% coverage for preventive care

Paid Time Off

Retirement Programs

Paid Parental Leave

Wellness programs

Tuition Reimbursement

PSLF Qualified Employer

Job summary

UT Southwestern Medical Center in Dallas seeks a skilled coder to develop outpatient coding education, research complex outpatient coding denials, and conduct risk-based coding compliance audits of outpatient encounters. You will stay current with AHA guidelines, CMS, and CPT updates, and create clear audit findings and recommendations for coders, auditors, managers, and directors across the organization.

Strong communication and teaching abilities are essential to educate teams and improve

Qualifications

• 5 years of coding or relevant billing experience including hospital outpatient encounters.
• 5 years of experience in coding audit or quality review work including outpatient encounters.
• 1 year of experience preparing and delivering education related to audit findings or regulatory guidance to coders and auditors.

Responsibilities

• Develops outpatient coding education via spreadsheet.
• Research complex outpatient coding issues related to questions, inquiries, and investigations.
• Understands, interprets, and applies coding guidelines for risk-based audits.
• Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating Coders, Auditors, Managers, and Directors throughout the organization.
• Identifies documentation issues that impact coding accuracy and communicates opportunities for documentation improvement.
• Stays current with AHA Official Coding and Reporting Guidelines, CMS, AAPC and other agency directives for ICD-10-CM and CPT coding; attends mandatory education and reviews updates.
• Performs other duties as assigned.

Skills

Outpatient coding knowledge

Auditing

Education delivery

Education

Bachelor's Degree in a relevant field

Job description

UT Southwestern Medical Center in Dallas seeks a skilled coder to develop outpatient coding education, research complex outpatient coding denials, and conduct risk-based coding compliance audits of outpatient encounters. You will stay current with AHA guidelines, CMS, and CPT updates, and create clear audit findings and recommendations for coders, auditors, managers, and directors across the organization.

Strong communication and teaching abilities are essential to educate teams and improve