Remote Coding Auditor & Educator, Professional Fee

Mountain Region Out of State Staffing

Santa Fe (NM)

Remote

USD 85,000 - 120,000

Full time

7 days ago
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Job summary

CommonSpirit Health is seeking a Coding Auditor and Educator for Professional Fee coding to support the organization’s accuracy and compliance. You will use ICD-10-CM, CPT-4, and HCPCS to audit, educate, and standardize coding practices across the PB coding teams.

Responsibilities include onboarding new staff, delivering targeted education on MEAT criteria, and staying current with Medicare and payer rules.

Qualifications

  • Must master ICD-10-CM, CPT, HCPCS and modifiers.
  • Experience conducting systematic chart audits.
  • Ability to onboard and train new staff in coding practices.

Responsibilities

  • Perform internal audits of professional fee coding to ensure accuracy and compliance.
  • Provide ongoing education to PB coding teams and track regulatory changes.
  • Develop and deploy training programs for evolving health plan requirements.
  • Lead onboarding for new hires and monitor MEAT criteria to improve documentation quality.
  • Communicate coding updates to leadership and cross-functional teams.
  • Manage deadlines and present findings to drive improvements in coding compliance.

Skills

ICD-10-CM
CPT-4
HCPCS
Regulatory knowledge
Analytics
Risk Adjustment
MEAT criteria
Documentation improvement
Team training
Auditing

Education

CPC/CCS/CCS-P/RHIT/RHIA certifications
Epic certification or experience

Tools

Epic

Job description

CommonSpirit Health is seeking a Coding Auditor and Educator for Professional Fee coding to support the organization’s accuracy and compliance. You will use ICD-10-CM, CPT-4, and HCPCS to audit, educate, and standardize coding practices across the PB coding teams.

Responsibilities include onboarding new staff, delivering targeted education on MEAT criteria, and staying current with Medicare and payer rules.

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