Location: Remote
Department: Revenue Cycle Management
Schedule: Full-Time | Days | Monday-Friday, 6:00am-6:00pm Central Time| 40 hours a week
Conduct periodic and ongoing claim audits—meeting volume targets per coder—to ensure coding accuracy, billing compliance, and sufficient clinical documentation.
Deliver clear audit reports to key stakeholders and develop corrective action plans to resolve documentation and coding gaps.
Analyze audit data to identify trends and high-risk compliance areas, creating and presenting targeted educational programs for coding teams.
Assist leadership in managing and refining the system-wide coding and billing auditing and monitoring program.
Proven background in inpatient/outpatient medical coding and compliance auditing. CPC or CCS-P required with 3-5 years of direct coding experience.
Licensure / Certification / Registration
Required Credential(s)
None Required.
Preferred Credential(s)
Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA).
Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC).
Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA).
Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA).
Education
High school diploma/GED with 2 years of experience, or Associate's degree, or Technical degree required.
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Work Experience
1 year of experience required.
Additional Preferences
We will consider RHIA or RHIT with 5+ years of direct coding experience. 1-2 years of E/M (evaluation and management) auditing and strong knowledge of procedural coding, is highly desired.