CODING EDUCATOR & AUDITOR

Froedtert•Manitowoc, WI

74d•$24 - $38•Remote

About The Position

The Coding Educator & Auditor develops and conducts coding and billing training programs for a multi-specialty physician practice and coding support staff while ensuring compliance with government and third-party payer rules and guidelines. The role performs medical coding audits for providers and coding specialists, prepares detailed reports, and addresses educational needs identified through the audits. The position supports revenue-cycle billing, coding, and documentation compliance for governmental payers; works with revenue-producing departments on billing compliance and regulatory updates; and informs providers, coders, and billing staff about changes to CPT, ICD, and HCPCS codes and government payer requirements. The role collaborates with Community Physician professional services providers, Patient Financial Services (Billing & Collections), Charge Capture, Epic Charge Process, Clinic Operations, Clinical Compliance, and Health Information Management staff. This is a remote, full-time position with a 1.0 FTE and 40 standard hours per week. The stated schedule is Monday through Friday, with flexible hours between 7 a.m. and 7 p.m.; weekends and holidays are not required. Hourly compensation is expected to be $24.05–$38.48, with final compensation based on experience.

Requirements

At least 3 years of experience providing education or training and/or auditing related to CPT, ICD-10, and HCPCS codes for a multi-specialty physician practice.
Knowledge of revenue cycle, particularly Medicare and Medicaid regulatory and billing guidelines.
Associate's degree in a healthcare-related field, or a high school diploma or equivalent plus 7 years of relevant experience in lieu of the degree.
Professional Coding Certification (CPC) is required.
Practice management computer experience.
Current knowledge of coding, billing, and Medicare regulations and coverage guidelines.
Ability to speak effectively in front of large groups.
Ability to work independently and manage large projects and multiple priorities.
Critical-thinking skills and good oral and written communication skills.
Ability to create accurate, interesting, and effective educational materials and presentations.

Nice To Haves

At least 3 years of multi-specialty CPT coding experience.
Experience developing and providing CPT and ICD-9-CM education to providers and coding staff.
Experience performing provider and coding specialist audits.
Health Information Management experience.
Bachelor's degree in a healthcare-related field.
RHIT or RHIA certification.
Prior education and presentation experience.
Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint.

Responsibilities

Develop and conduct coding and billing training programs for a multi-specialty physician practice and coding support staff.
Perform medical coding audits for providers and coding specialists and prepare detailed reports.
Address educational needs identified through coding audits.
Support revenue-cycle billing, coding, and documentation compliance for governmental payers.
Work with revenue-producing departments regarding billing compliance and regulatory updates.
Update providers, coders, and billing-office staff on changes to CPT, ICD, and HCPCS codes and government payer regulations and guidelines.
Collaborate with professional services providers and teams across billing and collections, charge capture, Epic charge processes, clinic operations, clinical compliance, and Health Information Management.

Benefits

Paid time off.
Career pathways, career tuition assistance, and continuing education unit opportunities.
Academic partnership with the Medical College of Wisconsin.
Referral bonuses.
403(b) retirement plan.
Medical, dental, vision, and life insurance.
Short- and long-term disability coverage.
Free workplace clinics.
Employee assistance programs.
Adoption assistance.
Healthy Contributions.
Care@Work.
Moving assistance.
Discounts on gym memberships, travel, and other work-life benefits.