Documentation & Coding Auditor

Texas Tech University • Lubbock, TX

10d • Hybrid

About The Position

Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities. This position is based in Lubbock; however, weekly travel to and from Amarillo will be required for training. Plan and perform proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations. Identify and address billing compliance risks before issues escalate by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk assessment results. Partner with departments before new services, workflows, locations, provider groups, or documentation tools are implemented to assess and reduce billing, coding, documentation, supervision, and reimbursement risks. Maintain or contribute to tracking tools, such as issue logs, risk registers, work plan trackers, audit dashboards, corrective action trackers, education trackers, consultation logs, and reporting calendars. Prepare and present ideas, findings, and information to appropriate staff. Work collaboratively with providers, residents, coding staff, clinic administrators, leadership, and other stakeholders.

Requirements

• High School graduate or equivalency
• Five years of coding and reimbursement experience of which 1 year may be as a coding auditor
• Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA)
• Certification to remain current during term of employment
• Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature

Nice To Haves

• Additional job-specific education may substitute for the experience

Responsibilities

• Performs coding and documentation quality audits
• Provides feedback to coding and reimbursement specialists, coders, and educates them
• Plans and performs proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations
• Identifies and addresses billing compliance risks before issues escalate by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk assessment results
• Partners with departments before new services, workflows, locations, provider groups, or documentation tools are implemented to assess and reduce billing, coding, documentation, supervision, and reimbursement risks
• Maintains or contributes to tracking tools, such as issue logs, risk registers, work plan trackers, audit dashboards, corrective action trackers, education trackers, consultation logs, and reporting calendars
• Prepares and presents ideas, findings, and information to appropriate staff
• Works collaboratively with providers, residents, coding staff, clinic administrators, leadership, and other stakeholders

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED