Coding and Compliance Auditor & Educator - Remote

Regional West Health Services•Scottsbluff, NE

47d•Remote

About The Position

You’ll be diving into clinical documentation and coding records, performing detailed audits to ensure every code is accurate, complete, and compliant with regulatory standards. You’ll analyze patterns, identify discrepancies, and provide actionable feedback that supports optimal reimbursement and quality reporting. You’ll assist with developing and delivering training sessions for coding staff, clinical providers, and other stakeholders. You’ll serve as the go-to expert for ICD-10-CM, ICD-10-PCS, CPT, and sequencing guidelines, helping teams stay current with evolving standards. You’ll work closely with the Coding Manager and other leaders, ensuring coding practices align with organizational goals. Whether you’re refining audit processes, answering complex coding questions, or creating educational materials, your work directly impacts compliance, revenue integrity, and patient care quality.

Requirements

Ability to retrieve, compile, and analyze clinical data, and present findings effectively.
Accuracy in data entry and identifying quality or clinical issues in medical records.
Skilled in working with multiple departments and presenting data at committee meetings.
Experience assisting with planning and implementing clinical and data quality improvements.
Commitment to maintaining confidentiality and pursuing ongoing professional growth.
Associate’s degree in health information management, nursing, or a related healthcare field.
One or more of the following:
Certified Professional Coder (CPC) - AAPC
Certified Coding Specialist (CCS) – AHIMA
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)

Nice To Haves

Experience as a Registered Nurse or Licensed Practical Nurse with auditing experience.
Minimum three years of progressive medical coding experience in an inpatient, outpatient, or physician practice setting.
Experience developing and facilitating educational sessions.

Responsibilities

Identify patterns of coding errors, trends in documentation deficiencies, and opportunities for improvement.
Review and respond to external audit findings and assist with preparation of appeal documentation when appropriate.
Abide by the Standards of Ethical Coding as set forth by the American Academy of Professional Coders (AAPC) and adheres to official coding guidelines.
Design, deliver, and evaluate coding education programs tailored to coders, clinicians, and other revenue cycle staff.
Provide new coder onboarding, including systems training, documentation expectations, and compliance protocols.
Monitor regulatory and coding updates (CMS, AHA Coding Clinic, OIG, etc.) and communicate relevant changes organization-wide.
Identify educational needs on audit findings and provide targeted training.
Collaborate cross-functionally with HIM, Compliance, Quality, and Revenue Cycle teams.