Professional Surgical Coding Auditor, Educator

🔥 12 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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, analyze, synthesize, and summarize operational and coding data • Identify opportunities, develop solutions, and lead issues through resolution • Collaborate on performance improvement activities related to program efficiency and patient experience • Distribute analytical reports with graphical presentations of trends and practical recommendations • Provide technical expertise and subject matter expertise for coding and documentation reviews of complex services • Review 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 • Develop and deliver education and training based on audit findings, regulatory updates, and knowledge gaps • Train and onboard new audit and education colleagues and providers • Complete the audit and education workplan defined by the Service Area Manager of Coding Audit and Education • Maintain coding audit accuracy of 95% or greater and adhere to coding quality and productivity standards

🎯 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 • Knowledge of regulatory guidelines, including Medicare and Medicaid • Knowledge of payer policies • Five or more years of professional coding experience, including surgical procedures • Two years of auditing and/or education experience • Required credential: RHIT, RHIA, CCS, or CPC • Bachelor's degree in health information management or a related healthcare field preferred • Preferred prior experience in auditing and provider education • Preferred credentials: CPMA, CRC, or CDEO • Ability to analyze data, documentation, and coding patterns • Ability to create reports and educational materials • Ability to maintain coding audit accuracy of 95% or greater • Ability to comply with applicable laws, regulations, policies, procedures, guidelines, and Code of Conduct • Ability to use multiple system applications and computer technology • Ability to lift a maximum of 30 pounds unassisted occasionally

🏖️ Benefits

• Full-time employment • Equal Opportunity Employer commitment • Mission-driven, not-for-profit, faith-based healthcare organization • Community-focused employer with charity care and community benefit programs