The Coding Educator and Auditor is responsible for conducting comprehensive documentation audits to validate the integrity of ICD-10-CM diagnoses, CPT, HCPCS, modifiers, and/or professional E/M codes assigned. The role reviews medical records and code assignments to ensure consistency with applicable laws, regulations, coding standards, and billing standards.
This position also supports the manager in improving the quality and completeness of provider clinical documentation to help ensure medical necessity, correct coding, coding and billing compliance, and appropriate reimbursement. The role serves as a coding liaison with CRL providers, Business Office Operations, and other enterprise-wide teams.
Key responsibilities include performing medical record audits, preparing reports of findings, providing provider education and training, responding to compliance and coding queries, assisting with annual objectives, supporting the CRL Coding Compliance Program, and collaborating with practice support teams on documentation and coding compliance.
Bachelor’s degree or Associate of Applied Science degree in Healthcare Administration or a related field.
Medical coding credential required: CCS-P, CCS, or CPC.
RCC (Radiology Certified Coder) preferred.
CIRCC (Certified Interventional Radiology & Cardiovascular Coder) preferred.
Minimum 5 years of coding experience in radiology required.
Working knowledge of documentation and coding compliance guidelines, including coding, billing, medical documentation, fraud, abuse, and penalties for violations.
Strong communication skills with the ability to work professionally with all levels of an organization.
Ability to manage multiple tasks and prioritize appropriately.
Experience working in a Windows environment with MS Office applications.
Experience with computer-aided coding software, preferably 3M.
Must be able to work successfully in a remote environment.
401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Tuition reimbursement
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago