Remote Coding Auditor & Educator, Professional Fee

Mountain Region Out of State Staffing; Clayton (NC); Remote; USD 90,000 - 120,000; Full time

Job summary

CommonSpirit Health is seeking a Coding Auditor and Educator Professional Fee to support the professional fee coding team across the organization. You will audit, educate, and standardize coding practices while staying current with regulatory changes and billing guidelines.

You will onboard new staff, develop ongoing educational programs, and collaborate with leadership on strategic planning to maintain excellence in compliant coding and billing practices.

Qualifications

• Two (2) years of PB coder audits, education, and training experience
• Knowledge of professional fee coding rules and guidelines
• Understand rules and regulations governing Medicare billing
• Advanced knowledge of NCCI, ICD-10-CM, CPT, HCPCS, and modifiers
• Strong organizational, planning, scheduling and project management abilities

Responsibilities

• Maintain mastery of ICD-10, CPT, HCPCS, and regulatory guidelines to serve as a high-level subject matter expert for complex billing inquiries.
• Conduct systematic chart audits to identify documentation gaps, track trends, and ensure the team meets all established productivity and accuracy standards.
• Lead the onboarding process for new hires and provide continuous education on Risk Adjustment, HCCs, and MEAT criteria to improve documentation quality.
• Develop and deploy specialized training programs to keep coding teams current on evolving health plan requirements and regulatory changes.
• Build and maintain strong, diplomatic relationships with coding teams to facilitate the standardization of practices and effective cross-departmental communication.
• Utilize strong organizational and problem-solving skills to independently manage deadlines, present educational findings, and drive improvements in coding compliance.

Skills

Organizational skills

Project management

Analytical ability

Communication

Education

CPC Certification (AAPC)

CCS

CCS-P

RHIT

RHIA

Tools

Epic

Job description

CommonSpirit Health is seeking a Coding Auditor and Educator Professional Fee to support the professional fee coding team across the organization. You will audit, educate, and standardize coding practices while staying current with regulatory changes and billing guidelines.

You will onboard new staff, develop ongoing educational programs, and collaborate with leadership on strategic planning to maintain excellence in compliant coding and billing practices.