Professional Coding Auditor, Educator

🔥 3 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

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

• Research, collect, and analyze information supporting organizational objectives • Identify opportunities, develop solutions, and lead issues through resolution • Collaborate on performance improvement activities related to program efficiency and patient experience • Distribute analytical reports • Use multiple system applications to perform analysis, create reports, and develop educational materials • Research and compile information for ad-hoc operational projects and initiatives • Synthesize and analyze data, create graphical trend presentations, and recommend practical solutions • Define and demonstrate progress, ROI, and operational impacts using program data and measurements • Provide technical expertise in coding and documentation review for complex services, including surgical procedure code selection and high-acuity services • Conduct comprehensive audits of professional coders and providers for accuracy, compliance, CPT, ICD-10, HCPCS, HCC, and payer-specific guideline alignment • Analyze documentation and coding patterns to identify compliance, revenue integrity, and regulatory risks • Provide actionable feedback to providers, coders, and leadership to improve documentation quality and coding accuracy • Develop and deliver targeted education and training based on audit findings, regulatory updates, and knowledge gaps • Train and onboard new audit and education colleagues and providers • Maintain at least 95% accuracy in coding audits and complete the audit and education workplan

🎯 Requirements

• Associate degree in Health Information Management or a related field, or an equivalent combination of years of education and experience • Extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines • Knowledge of medical terminology, Medicare and Medicaid regulatory guidelines, and payer policies • Five (5) or more years of professional coding experience, including surgical procedures • Two (2) years of auditing and/or education experience • Must possess one of: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Coding Professional Certification (CPC) • Bachelor's degree in health information management or related healthcare field preferred • Preferred experience in auditing and provider education • Preferred credentials: Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), or Clinical Documentation Expert – Outpatient (CDEO) • Ability to use multiple system applications and computer technology • Ability to maintain confidentiality, safety, and compliance with applicable laws and policies

🏖️ Benefits

• Equal Opportunity Employer commitment • Mission- and values-driven workplace • Professional development through audit education and training responsibilities