Remote Coding Auditor & Educator, Professional Fee

Mountain Region Out of State Staffing; Montgomery (AL); À distance; USD 90 000 - 120 000; Plein temps

Résumé du poste

CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to support the professional fee coding team across multiple U.S. sites and remote environments.

You will audit ICD-10-CM, CPT-4, and HCPCS classifications, educate staff, and drive standardization of coding practices. You will monitor regulations, implement updates, and lead onboarding and ongoing training for high quality, compliant coding.

Qualifications

• Two (2) years of PB coder audits, education, and training experience.
• Five (5) years of experience coding professional fee records.
• CPC/CCS/CCS-P or RHIT/RHIA certification required.
• Knowledge of professional fee coding rules and Medicare regulations.
• Epic experience is required.

Responsabilités

• Perform internal audits of professional fee coding to ensure accuracy and compliance.
• Lead onboarding and ongoing education on Risk Adjustment, HCCs, and MEAT criteria.
• Develop and deploy training programs on evolving health plan requirements.
• Communicate regulatory changes to PB coding teams promptly.
• Maintain mastery of ICD-10-CM, CPT, HCPCS, and modifiers for complex inquiries.
• Partner with leadership to plan short- and long-term coding strategy.

Connaissances

Auditing

Education & Training

Billing compliance

Formation

High School Diploma

Associate degree

CPC/CCS/CCS-P

RHIT/RHIA

Outils

Epic

Description du poste

CommonSpirit is seeking a Coding Auditor and Educator Professional Fee to support the professional fee coding team across multiple U.S. sites and remote environments.

You will audit ICD-10-CM, CPT-4, and HCPCS classifications, educate staff, and drive standardization of coding practices. You will monitor regulations, implement updates, and lead onboarding and ongoing training for high quality, compliant coding.