Coding Integrity Specialist - Professional Fee
About The Position
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Job Description Summary The Coding Integrity Specialist will be responsible for executing a variety of activities involving the coding of medical records, resolving coding related denials, and auditing of coders to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Medical Coding Representative will report to the Huron Managed Services Domestic Coding team. The Medical Coding Analyst will report to the Domestic Business Office leadership team.
Requirements
- Current permanent United States Work Authorization and ability to work U.S. day shift schedule.
- 2+ years of coding experience across multiple specialties (e.g., Inpatient, E&M, Ambulatory, Surgery, Cardiology, Radiology), including denial review and appeals.
- 2+ years of experience as a coding auditor with proven accuracy and compliance.
- Required certification: CPC
- Advanced proficiency in Microsoft Office Suite; familiarity with encoder tools (e.g., 3M/Solventum, Encoder Pro) and EMR systems.
- Strong analytical skills, attention to detail, time management, and ability to work independently in a deadline-driven environment.
- Excellent oral and written communication skills; adaptable and collaborative team player.
Nice To Haves
- AHIMA microcredentials: Auditing: Inpatient Coding (AIC) and/or Auditing: Outpatient Coding (AOC); AAPC CPMA certification.
- RHIA credential preferred.
- Experience with Epic, Cerner, Meditech systems.
- Familiarity with revenue cycle systems and financial analysis.
- Encoder experience with 3M/Solventum, Encoder Pro, Codif ime.
Responsibilities
- Responsible for the inpatient auditing of coders and/or “audit the auditors” to ensure coding accuracy of a minimum of 95% is met.
- Perform quality checks/audits on visits coded as per client SOPs.
- Perform calibration audits.
- Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders.
- May assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
