Senior Physician Coding & Auditing Lead

University Hospitals; Shaker Heights (OH); On-site; USD 70,000 - 110,000; Full time

Job summary

University Hospitals in Ohio is seeking a Sr Physician Coding Specialist to monitor coder productivity, train, audit and code surgical encounters while serving as a resource for physicians and departments. You will analyze insurance accounts, communicate with payors, resolve coding rejections, and mentor staff.

The role requires CPC/CCS credentials and strong PHI compliance and problem-solving abilities. Travel up to 10% may be required.

Qualifications

• High School equivalent or GED is required.
• 3+ years of medical billing experience, with multi-specialty group experience preferred.
• Must possess CPC or CCS credentials as listed (or active CPC family).
• Basic knowledge of ICD-9 and CPT coding and PHI handling requirements.
• Excellent communication and problem-solving skills with attention to detail.

Responsibilities

• Analyzes outstanding insurance accounts daily and initiates follow-up.
• Communicates with payors and internal departments to obtain critical information.
• Responds to customer service inquiries promptly and professionally.
• Reviews and corrects coding rejections and may code ICD-9 from documentation.
• May abstract CPT/HCPCS codes and perform computer-assisted coding functions.
• Mentors and trains new coders; assists staff when supervision is unavailable.
• Communicates coding trends and documentation requirements with physicians and practice managers.
• Maintains PHI confidentiality and adheres to UH policies and procedures.

Skills

Interpersonal skills

Communication skills

Problem solving

Attention to detail

PHI compliance

Education

High School Equivalent / GED

CPC (any) CPC-H CPC-P CPC-A

CCS-P

RHIT

RHIA

RCC

ROCC

Job description

University Hospitals in Ohio is seeking a Sr Physician Coding Specialist to monitor coder productivity, train, audit and code surgical encounters while serving as a resource for physicians and departments. You will analyze insurance accounts, communicate with payors, resolve coding rejections, and mentor staff.

The role requires CPC/CCS credentials and strong PHI compliance and problem-solving abilities. Travel up to 10% may be required.