Provider Coding Auditor – Educator

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

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Munson Healthcare

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1915

🏥 Healthcare

Healthcare

Munson Healthcare is northern Michigan’s largest integrated healthcare system, operating multiple hospitals and care facilities including Munson Medical Center, Cadillac Hospital, Charlevoix Hospital, Grayling Hospital, Kalkaska Memorial Health Center, Manistee Hospital, Otsego Memorial Hospital, and Paul Oliver Memorial Hospital. The system offers a broad range of inpatient and outpatient services — cancer care, cardiology, maternity, neurosciences, orthopedics, primary care, radiology and imaging, stroke care, surgery, home health, hospice, laboratory and pharmacy services, physical therapy, urgent care and virtual/telehealth visits — and supports patients with tools such as a patient portal, an Ask‑a‑Nurse hotline, and price/transparency and financial assistance resources. Munson Healthcare also provides community health programs, clinical education, and employment opportunities across its regional network.

📋 Description

• Audit clinician coding and documentation for physicians and advanced practice providers • Evaluate CPT, HCPCS, and ICD-10-CM code assignment, E/M level selection, and supporting medical decision-making documentation • Prepare written audit findings and recommendations identifying errors, trends, risks, and improvement opportunities • Deliver one-on-one provider education following audits • Develop and present targeted education for clinicians and coding staff • Identify CDI gaps affecting accuracy, medical necessity, and defensibility • Support clinician documentation guidelines, best practices, and reference materials • Monitor coding and documentation trends, audit outcomes, and denial drivers • Report findings to leadership and key stakeholders • Collaborate with coding, CDI, compliance, revenue integrity, and clinical leadership • Assist with education for new clinicians and ongoing coding/documentation improvement • Participate in compliance and revenue integrity activities, internal reviews, payer inquiries, and audit initiatives • Maintain audit tracking tools and quality metrics • Provide refresher education on coding, documentation, and regulatory updates • Travel to physician offices and clinical sites as needed for on-site audits and in-person education

🎯 Requirements

• High School Diploma/GED and 7 yrs total experience in professional coding experience including E/M and procedural coding across multiple specialties with at least 2 years of experience in professional coding audits, provider education, compliance reviews, and/or CDI OR Associate’s Degree in Health Information Management or a related healthcare field and 5 yrs total experience in professional coding experience including E/M and procedural coding across multiple specialties with at least 2 years of experience in professional coding audits, provider education, compliance reviews, and/or CDI • CPC or CCS-P required • CDEO required to obtain within 18 months of hire • Advanced knowledge of CPT, ICD-10-CM, HCPCS, and E/M coding guidelines, including payer-specific and regulatory requirements • Knowledge of outpatient/physician CDI principles, documentation specificity, medical necessity, clinical decision-making, and patient complexity • Ability to assess clinician documentation and coding accuracy and identify patterns, trends, and risk areas • Ability to deliver education to physicians and advanced practice providers • Ability to collaborate with clinicians, compliance, revenue cycle, CDI, and leadership • High level of precision in reviewing medical records, audit findings, and educational materials • Ability to manage priorities independently in a hybrid environment and adapt to regulatory changes • Employees must be vaccinated or have lab-confirmed immunity for Measles, Mumps, Rubella, and Varicella, or meet applicable requirements • Employees must receive a flu vaccine during the flu season in the year hired and annually thereafter, or receive an approved medical or religious exemption

🏖️ Benefits

• Tuition reimbursement • In-person and online development • Access to career hub • Full benefits • Paid holidays • Generous PTO • Employee discounts • Free individual retirement counseling • Free wellness platform for you and your family • Personalized support for personal or family challenges • Employee surveys and town hall meetings