Remote Coding Educator & Auditor - Professional Fee

Mountain Region Out of State Staffing; Alabama; Remoto; USD 90.000 - 130.000; Tempo pieno

Descrizione del lavoro

CommonSpirit Health is seeking a Coding Auditor and Educator for Professional Fee coding. The role uses ICD-10-CM, HCPCS, and CPT-4 to support the professional coding team and ensure accuracy and compliance across the organization.

You will audit, educate, onboard new staff, monitor regulatory changes, and lead ongoing training programs while collaborating with leadership to maintain high standards in compliant coding and regulatory billing practices.

Competenze

• High School Diploma/G.E.D.
• Two (2) years of PB coder audits, education, and training
• Five (5) years of experience coding professional fee records
• CPC/CCS/CCS-P, RHIT, RHIA certifications
• Epic experience
• Knowledge of professional fee coding rules
• Medicare billing regulations knowledge
• Advanced knowledge of NCCI, ICD-10-CM, CPT, HCPCS, and modifiers
• Medical terminology and anatomy knowledge
• Strong organizational, planning, scheduling and project management abilities
• Analytical ability to develop and analyze data

Mansioni

• Perform internal audits and provide necessary follow-up education to ensure accuracy and compliance.
• Monitor evolving regulatory changes and communicate updates to PB coding teams.
• Onboard and train new staff; develop ongoing educational programs.
• Participate in short-term and long-term strategic planning for compliant coding and billing practices.
• Maintain mastery of ICD-10, CPT, HCPCS and related guidelines as SME for complex billing.
• Conduct systematic chart audits to identify documentation gaps and track trends.
• Lead onboarding for new hires and provide continuous education on Risk Adjustment, HCCs, and MEAT criteria.
• Develop and deploy training programs to keep coding teams current with health plan requirements.
• Build relationships across departments to standardize practices and improve communication.
• Manage deadlines and present educational findings to drive improvements in coding compliance.

Conoscenze

PB coder audits

Education & training

Regulatory knowledge

Analytical ability

Project management

Formazione

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

Strumenti

Epic

Descrizione del lavoro

CommonSpirit Health is seeking a Coding Auditor and Educator for Professional Fee coding. The role uses ICD-10-CM, HCPCS, and CPT-4 to support the professional coding team and ensure accuracy and compliance across the organization.

You will audit, educate, onboard new staff, monitor regulatory changes, and lead ongoing training programs while collaborating with leadership to maintain high standards in compliant coding and regulatory billing practices.