Laboratory Coding Auditor – Educator

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🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $25 - $42 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Carle Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

🏥 Healthcare

📚 Education

Healthcare Insurance • Healthcare • Education

Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.

📋 Description

• Assist the Laboratory Revenue Integrity & RCM Manager in managing audits and audit schedules • Conduct coding audits for Laboratory Coding & Billing Representatives and Pathologists covering CPT, HCPCS, modifier, and place of service coding • Provide one-on-one and group education to team members and Pathologists • Conduct billing workflow and charge integrity audits to ensure laboratory orders and charges accurately transmit to EPIC • Compile and track audit-process statistics • Serve as the department’s senior coding resource • Train new billing staff in laboratory coding and billing practices • Attend meetings with Pathologists, LIS, Revenue Cycle, and HIM regarding coding and auditing • Interpret and analyze billing data to identify and monitor departmental performance and benchmarks • Maintain current coding regulations and ensure team members are updated as regulations change • Trend coding-related denials, identify root causes, and advise leadership on resolution opportunities • Build collaborative relationships to support accurate system configuration • Track and trend role functions for reporting • Review audits and education needs with the Manager of Laboratory Revenue Integrity & RCM • Establish coding guidelines with Laboratory Leadership and ensure coding team audits are completed timely • Report compliance and other concerns to Laboratory Leadership as needed

🎯 Requirements

• High school diploma or G.E.D. • Registered Health Information Technician (RHIT) certification from AHIMA • Certified Professional Coder (CPC) certification from AAPC • Coding experience • Ability to perform the essential job functions of a Laboratory Billing & Coding Representative • Knowledge of CPT, HCPCS, modifier, and place of service coding • Knowledge of laboratory coding and billing practices • Knowledge of current coding regulations and compliance requirements • Ability to audit laboratory billing workflows and charge integrity • Ability to analyze billing data, performance, benchmarks, and coding-related denials • Ability to work with EPIC and laboratory information systems (LIS)

🏖️ Benefits

• Comprehensive benefits package for team members and providers • Remote work arrangement • Monday-Friday day schedule