Coding Auditor, Educator – Multi Specialty

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

📋 Description

• Ensure consistent quality in coding and training for evaluation and management, office procedures, and surgical coding.

• Train and develop both current and newly hired members of the remote and on-site coding teams.

• Conduct quality assurance reviews to evaluate the effectiveness of training initiatives.

• Offer training and ongoing development based on the results of internal and external audits.

• Act as a subject matter expert in clinical coding.

• Investigate and assess documentation issues through research and collaboration with clinical staff, Coding leadership, and Coding Specialists.

• Audit coders using provider documentation to confirm ICD-10, CPT-4, and HCPCS codes for clinic, outpatient, and hospital services.

• Review provider documentation to validate medical decision-making level selection for clinic office visits.

• Audit complex surgical cases and document the findings of such audits.

• Provide guidance and education to Coding Specialists, Patient Financial Services, Providers, and clinical staff.

• Oversee the Revo Coding Education Email and Education Work Queues.

• Address coding inquiries from Providers, Coding Specialists, PFS, and Coding Leadership.

• Relay annual updates on CMS and AMA coding guidelines.

• Inform about payer updates, policy changes, and documentation concerns.

• Conduct annual reviews of internal coding policies.

• Develop workflows and processes as assigned.

• Assist Coding Specialists with coding inquiries and appeal letters.

• Support PFS in investigating coding denials.

• Create curriculum and training materials.

• Participate in or organize meetings for coders.

• Lead training sessions.

• Onboard new providers regarding documentation requirements.

• Code for assigned providers based on departmental needs.

• Attend continuing education courses to maintain coding proficiency and certification standards.

• Perform other duties as assigned.

⛳️ Requirements

• High School diploma/GED or an equivalent qualification.

• CPMA Certification is required or must be obtained within 6 months of hire.

• Coding Certification (CPC, CCS, CCS-P, RHIT, or RHIA) and/or completion of a Coding Program with a certificate/diploma is strongly preferred.

• A minimum of 3 years of medical coding experience or experience in a related medical field is preferred.

• Advanced knowledge of ICD-10-CM, CPT, HCPCS, and payer-specific guidelines.

• In-depth understanding of medical terminology, body systems/anatomy, physiology, and disease process concepts.

• Ability to support the coding department during core business hours, 7:30 AM - 5:00 PM Central Time Zone.

• Capability to sit for extended periods (up to 8 hours or more per day).

• Frequent use of hands and fingers for typing, writing, and handling documents.

• Ability to lift and carry office supplies or files weighing up to 20 pounds.

• Visual acuity to read both electronic and paper documents.

• Auditory ability to engage in phone or video calls clearly.

• Manual dexterity for operating standard office equipment.

• Compliance with company policies, procedures, practices, business ethics, laws, and regulations, including HIPAA, Stark, OSHA, and employment laws.

• Consistent and reliable attendance.

• Ability to work efficiently, manage interruptions, meet deadlines, and prioritize workload.

• Maintain respectful and professional communication.

• Logical thinking skills to identify problems, establish facts, and draw valid conclusions.

• Newly hired individuals must obtain CPMA certification within 6 months of hire.

🏝️ Benefits

• Medical, dental, and vision plans available for employees working 30+ hours per week.

• Maternity Bundle.

• Tuition Reimbursement.

• 401(k) Profit Sharing.

• Employee Assistance Program.

• Lifetime Fitness Subsidy.

• Car rental discounts.

• Savings programs for home, auto, and pet insurance.

• Comprehensive benefits package.

• Equal Opportunity Employer with reasonable accommodations available.