Revenue Integrity Coding Auditor & Educator

DaMar Staffing; Chicago (IL); On-site; USD 44,000 - 72,000; Full time

Job summary

Rush University Medical Center is seeking a Coding Auditor within the Revenue Integrity department in Chicago to audit EMR documentation and ensure coding accuracy for CPT, ICD-10, and modifiers. You will collaborate with clinical providers to improve revenue cycle integrity and identify opportunities for coding optimization.

The role requires CPC/CCS-P and RHIA/RHIT eligibility, with 3+ years of E/M or surgical coding experience, and strong knowledge of federal, state, and payer regulations.

Qualifications

• Bachelor’s or associate degree with auditing experience.
• CPC or CCS-P certification required.
• RHIA/RHIT certification considered with coding experience.
• 3 years of E/M or surgical coding experience.
• Strong knowledge of coding regulations.
• Ability to identify non-conformances in CPT/ICD-10/HCPCS.
• Excellent communication and organizational skills.

Responsibilities

• Review professional services and documentation by providers.
• Evaluate documentation to improve reimbursement and reduce denials.
• Review coder-submitted charge information and insurance letters.
• Prepare audit reports for leadership and providers.
• Develop educational materials and training.
• Educate providers and coders on CPT/ICD-10 and modifiers.
• Collaborate with physician leaders and departments on coding education.
• Analyze billing trends and report findings to committees.
• Assist with corrective action plans and compliance investigations.
• Track coding quality and ROI for CPI initiatives.

Skills

CPC

CCS-P

RHIA/RHIT

E/M coding

Surgical coding

Communication

Audit experience

Education

Bachelor's degree or Associate degree with auditing experience

Tools

Excel

Word

Epic Ambulatory

Data Entry

Job description

Rush University Medical Center is seeking a Coding Auditor within the Revenue Integrity department in Chicago to audit EMR documentation and ensure coding accuracy for CPT, ICD-10, and modifiers. You will collaborate with clinical providers to improve revenue cycle integrity and identify opportunities for coding optimization.

The role requires CPC/CCS-P and RHIA/RHIT eligibility, with 3+ years of E/M or surgical coding experience, and strong knowledge of federal, state, and payer regulations.