Remote Coding Auditor & Educator - Professional Fee

Mountain Region Out of State Staffing; Mississippi; Remote; USD 70,000 - 90,000; Full time

Job summary

CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee coding across a national footprint, including remote work from select US states. You will audit, educate, and train teams on ICD-10, CPT, HCPCS, and Medicare rules to ensure compliant billing.

You will develop ongoing education programs, onboard new staff, and collaborate with leadership on strategic coding initiatives, risk adjustment, and MEAT criteria.

Qualifications

• Must have CPC/CCS or RHIT/RHIA certifications or equivalent credentials.
• Experience with professional fee coding rules and Medicare guidance.
• Strong auditing, training, and education capabilities.

Responsibilities

• Perform internal coding audits and provide follow-up education for accuracy and compliance.
• Monitor regulatory changes and communicate updates to PB coding teams.
• Onboard and train new staff and develop ongoing educational programs.
• Lead strategic planning with leadership to maintain compliant coding and billing practices.
• Maintain mastery of ICD-10, CPT, HCPCS, and related guidelines for complex inquiries.
• Conduct chart audits to identify gaps and track performance against targets.
• Lead onboarding for new hires and train on Risk Adjustment, HCCs, and MEAT criteria.
• Develop training programs to keep coding teams current on health plan requirements.
• Build relationships across departments to standardize practices and communication.
• Manage deadlines, present findings, and drive coding compliance improvements.

Skills

Auditing and education

Professional fee coding

Regulatory compliance

Data analysis

Project management

Education

CPC/CCS/CCS-P or RHIT/RHIA certifications

Associate degree or equivalent

Tools

Epic software

Job description

CommonSpirit is seeking a Coding Auditor and Educator for Professional Fee coding across a national footprint, including remote work from select US states. You will audit, educate, and train teams on ICD-10, CPT, HCPCS, and Medicare rules to ensure compliant billing.

You will develop ongoing education programs, onboard new staff, and collaborate with leadership on strategic coding initiatives, risk adjustment, and MEAT criteria.