Professional Coding Auditor-Educator
Core
Educate and train healthcare coding staff, oversee auditing plans, and perform quality audits to ensure accurate coding and DRG assignment.
Role type
Senior IC health information management auditor and educator
Builds
Accurate medical coding, DRG assignments, and compliant documentation
Domain
Healthcare / Medical Coding
Required skills
ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC, APR-DRG, RHIA, RHIT, CCS, CPC, coding quality audits, training curriculum development, EMR data governance, policy development, denial management, regulatory compliance
Preferred skills
Bachelor's degree in Health Information Management, supervisory experience, multi-specialty coding, E&M coding, procedural/surgical coding, Teaching Physician Guidelines knowledge
Technologies
ICD-10-CM, ICD-10-PCS, CPT, EMR systems, audit tools (ROC)
Responsibilities
Manage activities of designated coding personnel in training, manage quality improvement audits and training, act as expert coding resource, update coding policies and procedures, develop and maintain coding related policies and training materials, coordinate external agency audits, facilitate appeal letter formation for denials, communicate regularly with coding leadership and medical staff, ensure audit recommendations are completed, assist with on-boarding of new coding specialists, update staff on compliance changes, develop curriculum for coding certificate programs
Seniority
Senior, hands-on IC with mentorship duties
