Senior Laboratory Coding Auditor & Educator

Carle; Champaign (IL); Hybrid; USD 35,000 - 58,000; Full time

Job summary

Carle Health in Illinois is seeking a Laboratory Coding Auditor/Educator to oversee coding audits and provide targeted education for Laboratory Billing & Coding Representatives, Pathologists, and departments. This senior resource ensures compliant code assignment and accurate transmission to EPIC.

You will lead audits, train staff, monitor performance, and stay current with coding regulations, partnering with leadership to improve charge integrity and workflow.

Qualifications

• RHIT certification required.
• CPC certification required.
• High school diploma or GED required.
• Experience in coding

Responsibilities

• Perform essential duties of Laboratory Billing & Coding Representative.
• Assist Audit Manager in audits and audit scheduling.
• Provide coding audits to staff and Pathologists for CPT, HCPCS, modifiers, and place of service.
• Provide education in one-on-one or group formats to team members and Pathologists.
• Conduct billing workflow and charge integrity audits to ensure orders and charges transmit to EPIC.
• Track statistics related to the audit process.
• Serve as senior coding resource for the department.
• Train new billing staff in laboratory coding and billing practices.
• Attend meetings with Pathologists, LIS, Revenue Cycle, and HIM on coding/auditing topics.
• Interpret billing data to identify performance gaps and benchmarks.
• Maintain knowledge of current coding regulations and update team accordingly.
• Identify root causes of denials and advise leadership on improvements.
• Collaborate with laboratory departments and other units to support accurate system configuration.

Education

RHIT

CPC

High school diploma or GED

Job description

Carle Health in Illinois is seeking a Laboratory Coding Auditor/Educator to oversee coding audits and provide targeted education for Laboratory Billing & Coding Representatives, Pathologists, and departments. This senior resource ensures compliant code assignment and accurate transmission to EPIC.

You will lead audits, train staff, monitor performance, and stay current with coding regulations, partnering with leadership to improve charge integrity and workflow.