Auditor/Educator

🕒 May 7

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $54.5k - $83.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Presbyterian Healthcare Services

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1908

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

Presbyterian Healthcare Services is an integrated, nonprofit healthcare system based in New Mexico that operates hospitals, urgent care clinics, specialty and primary care practices, virtual care (VirtualPRES), and health insurance plans. The organization provides a broad range of clinical services—including neuroscience, transplant, cancer care, surgery, behavioral health, and home health—while also running community health and charitable programs (financial assistance, community support, and partnerships with medical education). It offers individual, Medicaid, Medicare Advantage, and employer health plans, plus patient tools (MyChart/myPRES), billing support, and commitment to access and quality across the state.

📋 Description

• Supports the Coding and documentation quality assurance (CDQA) team's responsibilities. • Implements and ensures compliance with coding policies and procedures. • Performs and manages internal audits or reviews for compliance/quality monitoring. • Develops and presents educational programs for coding compliance. • Audits and trains for corrective action plans related to coding and billing. • Conducts systematic internal audits via medical record and charge ticket review. • Maintains accurate, complete, and timely documentation.

🎯 Requirements

• High school diploma/GED required. • Must possess at least one of the following license/certifications: RHIT, RHIA, CPC, CCS • Minimum of three (3) years experience in coding and/or auditing required. • Audit experience preferred. • Medical terminology, ICD-9, CPT-4, and HCPCS knowledge required. • Must have a proficient knowledge of Medicare, Medicaid, and other third party payer documentation, coding, and billing regulations. • Must possess excellent organizational and planning skills. • Must possess computer skills, especially with Microsoft Word, PowerPoint, and Excel applications. • Must possess strong written and verbal communication skills.

🏖️ Benefits

• Medical • Dental • Vision • Short-term and long-term disability • Group term life insurance • Optional voluntary benefits • Employee Wellness rewards program