Auditor, Educator – Professional Services

🔥 5 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

📚 Education

🤝 Non-profit

🌍 Social Impact

Education • Non-profit • Social Impact

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Use specialized knowledge to support key areas of the organization related to an area of expertise. • Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. • Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. • Provides high level technical competency & subject matter expertise analyzing coding and documentation review for professional services, including code selection of evaluation and management codes and procedural services. • Conducts comprehensive audits of professional coders and providers to ensure accuracy, compliance, and alignment with CPT, ICD 10, HCPCS, HCC and payer specific-specific guidelines. • Analyze documentation and coding patterns to identify risks related to compliance, revenue integrity, and regulatory requirements. • Provides clear, actionable feedback to providers, coders, and leadership to improve documentation quality and coding accuracy. • Maintains current knowledge and credentials through ongoing education and interpretation of regulatory and industry changes. • Develops and delivers targeted education and training programs based on audit findings, regulatory updates, and identified knowledge gaps. • Provides training and onboarding to new providers. • Adheres to coding quality & productivity standards as established by Revenue Excellence.

🎯 Requirements

• Associate degree in Health Information Management or a related field or an equivalent combination of years of education & experience. • Must possess comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology, regulatory guidelines including Medicare and Medicaid, and payer policies. • Three (3) to Five (5) years of professional coding or auditing experience. • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Coding Profession Certification (CPC) is required. • Bachelor's degree in health information management (HIM) or related healthcare field is preferred. • Preferred prior experience in auditing and provider education. • Preferred credentials: Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation Expert – Outpatient (CDEO).

🏖️ Benefits

• Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment. • Work/Life balance with flexible schedules. • Free onsite parking.