Coding Auditor & Educator

Gulf Coast Automation Group•Chicago, IL

1d•$38 - $42•Hybrid

About The Position

TalentFish is casting a line for an Auditor & Educator – Revenue Integrity to support a high-performing healthcare organization. This role is a key member of the Revenue Integrity team and is responsible for auditing EMR documentation, ensuring accurate coding and documentation, and partnering closely with clinical providers to improve revenue cycle integrity. The Auditor & Educator identifies trends, provides targeted education, and supports compliance initiatives to optimize reimbursement and reduce denials.

Requirements

Bachelor's Degree OR Associate's Degree with 5+ years of auditing experience
Active CPC or CCS-P certification
RHIA or RHIT certification with physician-based coding experience (contingent upon obtaining CPC or CCS-P within 6 months, if applicable)
3+ years of E/M and/or surgical coding experience
Advanced knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage
Strong understanding of federal, state, and payer-specific coding, billing, and documentation regulations
Demonstrated ability to analyze patient records and identify coding non-conformances
Experience with healthcare billing systems; Epic Ambulatory experience strongly preferred
Excellent communication, organization, and provider-facing education skills
Commitment to continuous learning and quality improvement

Nice To Haves

Certified Professional Medical Auditor (CPMA)
Surgical coding certifications
Experience in a teaching hospital environment
Prior experience with billing, claims processing, and denial management
Experience working in hospital or clinical settings

Responsibilities

Coordinate, schedule, and perform audits of professional services and clinical documentation
Review EMR documentation to ensure accuracy, compliance, and reimbursement optimization
Audit CPT, ICD-10, and modifier utilization for professional billing
Analyze charge submissions, claims, denials, payments, and follow-up activities for accuracy and timeliness
Prepare detailed written audit reports for internal leadership, clinical leadership, and providers
Develop and deliver targeted education, training materials, and learning tools for providers and coders
Provide ongoing education related to coding, documentation standards, and EMR charge capture
Serve as a liaison for clinical coding inquiries within the professional billing revenue cycle
Collaborate with physician leaders, Revenue Cycle, Compliance, IS, and administrative teams
Analyze billing trends to identify noncompliance risks and improvement opportunities
Assist with claim denial analysis and corrective action planning
Support compliance investigations and special projects as needed
Track coding quality improvements, ROI, and support continuous process improvement initiatives
Perform all duties aligned with organizational service principles and patient-centered values