Professional Coding Auditor & Educator (Remote)

Holy Cross Health; Silver Spring (MD); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Professional Coding Auditor & Educator to join their remote team. This role is essential for performing medical record audits, ensuring compliance with CMS guidelines, and enhancing coding accuracy. You will collaborate with leadership to improve high-risk scoring and educate practitioners on best practices in documentation and coding. With competitive pay and a supportive work environment that values professional growth, this position offers a unique opportunity to make a significant impact in healthcare. Join a team committed to high-quality care and excellence.

Benefits

Tuition reimbursement

Free parking

Employee discounts

Flexible schedules

Opportunities for professional growth

Qualifications

• 2-5 years of coding experience required.
• Knowledge of ICD-10, CPT, HCPCS, and billing regulations.

Responsibilities

• Monitor accuracy of charge capture and coding with ICD-10 and CPT.
• Educate practitioners on coding, documentation, and compliance.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Communication skills

Collaboration

Education

High school diploma or equivalent

Certified Professional Coder certification

Registered Health Information Technician certification

Tools

Standard computer systems

Job description

Professional Coding Auditor & Educator (Remote)

Join to apply for the Professional Coding Auditor & Educator (Remote) role at Holy Cross Health.

Position Overview

The Professional Coding Auditor & Educator performs medical record audits, including analysis of documentation, validation of diagnoses and procedures, and ensuring proper coding using CMS guidelines.

Responsibilities

• Monitor accuracy of charge capture and coding with ICD-10, CPT, and modifiers, adhering to policies.
• Partner with leadership to improve HCC and high-risk scoring through education.
• Review patient documentation and coding regularly.
• Educate practitioners on coding, documentation, and compliance.
• Assist in establishing and modifying charge description master (CDM) methodologies.
• Report to the Manager, Provider Revenue Operations.

Qualifications

• High school diploma or equivalent; relevant experience preferred.
• Certified Professional Coder or Registered Health Information Technician certification required.
• 2-5 years of coding experience, knowledge of ICD-10, CPT, HCPCS, and billing regulations.
• Excellent communication skills and ability to work collaboratively.
• Proficiency with standard computer systems.

Benefits & Work Environment

• Full-time, Days shift.
• Competitive pay: $29.13 - $40.79/hour, based on experience.
• Benefits include tuition reimbursement, free parking, employee discounts, flexible schedules, and opportunities for professional growth.

About Holy Cross Health

A Catholic, not-for-profit health system serving Maryland's Montgomery and Prince George's counties, recognized for high-quality care and awards including being named one of America’s 100 Best Hospitals for 2021.

Equal Opportunity Employment

Holy Cross Health and Trinity Health are committed to diversity, equity, and inclusion, providing equal employment opportunities to all applicants.