Coding Auditor, Educator – Laboratory

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Support the Laboratory Revenue Integrity & RCM Manager in managing audits and schedules.

• Perform coding audits for Laboratory Coding & Billing Representatives as well as Pathologists.

• Provide individual and group training sessions for team members and Pathologists.

• Execute audits on billing workflows and charge integrity to verify that laboratory orders and charges are accurately transmitted to EPIC.

• Gather and monitor statistics related to the audit process.

• Act as the senior coding expert within the department.

• Onboard and train new billing personnel on laboratory coding and billing standards.

• Participate in meetings with Pathologists, LIS, Revenue Cycle, and HIM concerning coding and auditing practices.

• Analyze and interpret billing data to assess performance and departmental benchmarks.

• Stay updated on current coding regulations and inform team members of any changes.

• Identify trends in coding-related denials, determine root causes, and provide recommendations to leadership for resolution.

• Foster collaborative relationships to ensure accurate system configuration.

• Monitor and trend role functions for reporting purposes.

• Discuss audits and educational needs with the Manager of Laboratory Revenue Integrity & RCM.

• Develop coding guidelines in collaboration with Laboratory Leadership and ensure prompt completion of coding team audits.

• Report compliance issues and other concerns to Laboratory Leadership.

⛳️ Requirements

• Must be capable of performing the essential functions of a Laboratory Billing & Coding Representative.

• Possess Registered Health Information Technician (RHIT) certification from AHIMA.

• Hold Certified Professional Coder (CPC) certification from AAPC.

• Relevant work experience in coding.

• Familiarity with CPT, HCPCS, modifiers, and place of service coding.

• Understanding of current and necessary coding regulations.

• Ability to interpret and analyze billing data effectively.

• Skill in pinpointing root causes of coding-related denials.

• Proficiency in working with EPIC and laboratory information systems.

• Capability to collaborate with Pathologists, LIS, Revenue Cycle, HIM, and other departments.

• Willingness to attend meetings and train new billing staff.

🏝️ Benefits

• Comprehensive benefits package.

• Equal Opportunity Employer.

• Opportunities for growth and lifelong careers.