CODING EDUCATOR & AUDITOR, FCH - NEMG REVENUE CYCLE

Froedtert•Manitowoc, WI

25d•$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, ensuring compliance with government and third-party payer regulations and guidelines. The role performs medical coding audits for providers and coding specialists, prepares detailed reports, and addresses educational needs identified through the audit process. The position supports revenue-cycle billing, coding, and documentation compliance for governmental payers. It works with revenue-producing departments on billing compliance and regulatory updates, and informs providers, coders, and billing-office staff about changes to CPT, ICD, and HCPCS codes and government payer regulations and guidelines. 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. The position is remote and is based at Froedtert Holy Family Memorial Hospital in Manitowoc, Wisconsin.

Requirements

At least 3 years of experience providing education, training, and/or auditing related to CPT, ICD-10, and HCPCS codes for a multi-specialty physician practice.
Knowledge of revenue cycle, with a focus on Medicare and Medicaid regulatory and billing guidelines.
At least 3 years of experience with multi-specialty CPT coding.
Experience developing and providing CPT and ICD-9-CM education to providers and coding staff.
Experience performing provider and coding specialist audits.
Associate degree in a health-care-related field, or a high school diploma or equivalent and 7 years of relevant experience in lieu of a degree.
Professional Coding Certification (CPC) is required.
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.
Practice management computer experience.
Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint.

Nice To Haves

Bachelor's degree in a health-care-related field.
RHIT or RHIA degree or certification.
Prior education and presentation experience.
Experience in Health Information Management.

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 education needs identified through 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 CPT, ICD, and HCPCS code changes and changes to government payer regulations and guidelines.
Collaborate 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.