Professional Coding Auditor & Educator

Trinity Health; Silver Spring (MD); Remote; USD 38,572 - 59,787; Full time

Benefits offered by this job

Tuition reimbursement

Free parking

Employee discounts

Job summary

Trinity Health in Silver Spring, Maryland is seeking a Coding Auditor and Educator for a full-time remote role. The successful candidate will be responsible for ensuring accuracy in coding practices, conducting education for practitioners, and monitoring compliance with healthcare regulations.

Qualified applicants should have a relevant certification and a minimum of 2-5 years of professional coding experience. The position offers flexibility in work schedules and a supportive work environment aimed at professional growth.

Qualifications

• Minimum of 2-5 years of professional coding experience.
• Effective verbal and written communication skills.
• Solid understanding of Medicare and Medicaid billing.

Responsibilities

• Monitor accuracy of coding and charge capture.
• Conduct reviews of patient medical records.
• Educate practitioners on coding and compliance.

Skills

ICD-10 knowledge

CPT knowledge

Healthcare coding experience

Communication skills

Team collaboration

Confidentiality

Education

High school diploma or equivalent

Certified Professional Coder or Registered Health Information Technician

Tools

Standard desktop software

Job description

Overview

Job Title: Coding Auditor and Educator (Remote)

Employment Type: Full-Time

Shift: Day Shift

Responsibilities

• Monitors accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies.
• Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
• Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner.
• Responsible for practitioner education in areas related to coding, documentation, and compliance.
• Works closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance.
• Reports to the Manager, Provider Revenue Operations.

What You Will Need

• High school diploma or equivalent combination of education and experience
• Certified Professional Coder or Registered Health Information Technician accreditation required
• Minimum of 2-5 years of professional coding experience with knowledge of ICD-10, CPT, and HCPCS modifiers; knowledge of Medicare, Medicaid, and other third-party billing rules and regulations
• 3-6 years of professional coding experience; ability to code from operative reports; prior auditing experience (Preferred)
• Effective verbal, written, and interpersonal communication skills with the ability to interact with diverse populations
• Ability to work collaboratively in a team-oriented environment with strong customer-service orientation
• Ability to handle patient and organizational information confidentially
• Proficiency with a standard desktop Windows-based computer system, email, e-learning, intranet, and basic navigation; ability to use other required software
• Dependability and regular attendance
• Solid understanding of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, HMO, and other insurance plans
• Ability to exercise independent judgment within standard practices and procedures

Pay

Pay rate: $28.00 – $43.40

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may vary by location.

Benefits & Location

• Additional Benefits: tuition reimbursement, free parking, employee discounts
• Quality of Life: Flexible work schedules
• Advancement: Professional growth within the organization
• Location: Holy Cross Health has two hospitals and four healthcare centers within a short driving distance of Washington DC and Baltimore, MD

About Us

Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties — Montgomery and Prince George's counties. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/Disabled/Veteran (M/F/D/V) status.