Coding Auditor, Educator – Multi Specialty

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🔥 14 minutes ago

❄️ Minnesota – Remote

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💵 $67.7k - $101.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 2%

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Logo of Infinite Health Collaborative

Infinite Health Collaborative

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

🧘 Wellness

Healthcare • B2B • Wellness

Infinite Health Collaborative is a collaborative network of independently owned and physician-led local medical practices that unites multiple specialties under a shared framework to support growth and sustainability while preserving physician autonomy and patient choice. The organization operates divisions across cardiology, endocrinology, family medicine, ophthalmology, orthopedics, pediatrics, plastic surgery, vascular & interventional radiology, and women’s health, and provides patient-facing services like a patient portal, online bill pay, and pelvic health therapy. i-Health focuses on maintaining independent, patient-first care through shared principles of quality, value-based care, and operational support for member practices.

📋 Description

• Assure consistent quality coding and training in evaluation and management, office procedures, and surgical coding • Train and develop current and newly hired remote and on-site coding team members • Perform quality assurance reviews to assess comprehension of training efforts • Provide training and continued development based on internal and external audit results • Serve as a clinical coding subject matter expert • Analyze and evaluate documentation issues through research and consultation with clinical staff, Coding leadership, and Coding Specialists • Audit coders using provider documentation to verify ICD-10, CPT-4, and HCPCS codes for clinic, outpatient, and hospital services • Audit providers to verify medical decision-making level selection for clinic office visits • Audit complex surgical cases and document audit findings • Advise and educate Coding Specialists, Patient Financial Services, Providers, and clinical staff • Manage Revo Coding Education Email and Education WQs • Research coding questions from Providers, Coding Specialists, PFS, and Coding Leadership • Communicate yearly CMS and AMA coding updates and coding guideline updates • Communicate payer updates, policy requirements/changes, and documentation issues • Conduct annual internal coding policy reviews • Create workflows and processes as assigned • Assist Coding Specialists with coding queries and appeal letters • Support PFS in researching coding denials • Develop curriculum and training materials • Participate in or organize coder meetings • Lead training sessions • Onboard new providers on documentation requirements • Code assigned providers based on department needs • Attend continuing education classes to maintain coding proficiency and certification requirements • Perform other duties as assigned

🎯 Requirements

• High School diploma/GED or equivalent • CPMA Certification required or obtained within 6 months of hire • Coding Certification (CPC, CCS, CCS-P, RHIT or RHIA) and/or graduation from a Coding Program with certificate/diploma of completion strongly preferred • Minimum of 3 years’ medical coding experience or experience in a related medical field preferred • Advanced knowledge of ICD-10-CM, CPT, HCPCS and payer specific guidelines • Advanced understanding of medical terminology, body system/anatomy, physiology, and concepts of disease processes • Ability to support the coding department during core business hours, 7:30 AM - 5:00 PM Central Time Zone • Ability to sit for extended periods (up to 8 or more hours per day) • Frequent use of hands and fingers for typing, writing, and handling documents • Ability to lift and carry office supplies or files weighing up to 20 pounds • Visual acuity to read electronic and paper documents • Auditory ability to participate in phone or video calls clearly • Manual dexterity to operate standard office equipment • Ability to comply with company policies, procedures, practices, business ethics, laws, and regulations including HIPAA, Stark, OSHA, and employment laws • Prompt and reliable attendance • Ability to work efficiently, handle interruptions, meet deadlines, and prioritize workload • Respectful and professional communication • Ability to apply logical thinking to define problems, establish facts, and draw valid conclusions • Newly hired CPMA certification must be obtained within 6 months of hire

🏖️ Benefits

• Medical, dental, and vision plans for employees working 30+ hours per week • Maternity Bundle • Tuition Reimbursement • 401(k) Profit Sharing • Employee Assistance Program • Lifetime Fitness Subsidy • Car rental discounts • Home, auto, and pet insurance savings programs • Comprehensive benefits package • Equal Opportunity Employer and reasonable accommodation may be provided

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