About The Position

The Corporate Professional Coding Auditor and Educator is responsible for ensuring accurate, compliant, and optimized professional (physician) coding across the organization. This role performs proactive and reactive coding audits, identifies risk and revenue opportunities, and provides targeted education to physicians, APPs, and coding staff to support regulatory compliance, documentation integrity, and appropriate reimbursement. This position partners closely with Compliance, Revenue Integrity, CDI, and Provider Leadership to mitigate audit risk, improve documentation quality, and promote best practices in professional fee coding.

Requirements

  • High school diploma or equivalent.
  • Credentialed with RHIT, RHIA, CCS or CPC.
  • At least 5 years’ experience in inpatient, outpatient or physician coding.
  • Proficiency in personal computer applications, focus on Microsoft package.
  • Strong organizational skills with the ability to perform multiple tasks.
  • Strong interpersonal skills and ability to work with others.
  • Independent judgment in investigation and preparation of documents.

Nice To Haves

  • 5+ years of professional (physician) coding experience
  • 3+ years of coding auditing and/or provider education experience
  • Strong experience with E/M coding and documentation guidelines
  • Multi-specialty or academic medical center experience preferred
  • Experience in conducting coding and billing audits
  • Experience in report design and creation
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