HIM Auditor - Educator (CPMA and CPC/CCS-P/CCS/RHIA/RHIT Required)

ACCESS Community Health Network • Chicago, IL

13h

About The Position

The HIM Auditor/Educator is responsible for reviewing patient encounters to ensure compliance with documentation standards, coding regulations, and applicable guidelines. Audits include evaluation and management (E/M), procedure, and diagnosis coding, and are conducted in alignment with ACCESS’s documentation and coding audit compliance plan. This role also provides feedback to providers and delivers ongoing education to support accurate and compliant documentation practices.

Requirements

• Associate degree (business or related)
• 3 years of auditing experience
• 3 years of provider training/education experience
• Knowledge of healthcare auditing concepts and principles
• Basic experience working within an electronic health record system (preferably Epic)
• CPMA certification and one of the following credentials: CPC or CCS-P or CCS from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) or RHIT or RHIA from AHIMA
• Intermediate proficiency with Microsoft Office applications
• Advanced presentation skills

Nice To Haves

• Bachelor’s degree
• Epic experience

Responsibilities

• Audit patient encounters to identify documentation deficiencies, under-coded and over-coded services, and prepare detailed reports of findings.
• Meet with providers to review audit results and deliver targeted training aimed at improving documentation and coding compliance.
• Identifies and analyzes documentation and coding trends during audits to inform targeted education, improve compliance, and support process improvement initiatives.
• Respond to provider inquiries with accurate guideline-referenced documentation and coding guidance.
• Prepare and present educational materials to providers, coders, and other stakeholders, in collaboration with the HIM Manager.
• Identify opportunities for system-generated coding support and flag system issues that impact compliance or revenue cycle performance.
• Develop educational tip tools and newsletter content for distribution, and present recommendations to appropriate committees.
• Compile and submit audit findings and compliance trends to the Chief Compliance Officer, supporting enterprise-wide risk mitigation and regulatory adherence.

Benefits

• Tuition reimbursement and scholarship program
• Comprehensive healthcare coverage including Medical, Dental, and Vision
• Generous PTO after introduction period
• 403(B) retirement plan and financial resources to help you save and plan for your retirement
• Life Insurance
• Opportunity to participate in cross-departmental committees to innovate and transform our care delivery model and our workplace

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree