Laboratory Coding Auditor – Educator

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

📋 Description

• Support the Laboratory Revenue Integrity & RCM Manager in overseeing audits and scheduling them.

• Perform coding audits for Laboratory Coding & Billing Representatives and Pathologists, focusing on CPT, HCPCS, modifiers, and place of service coding.

• Deliver both individual and group training to team members and Pathologists.

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

• Gather and monitor statistics related to the audit process.

• Act as the department's primary coding expert.

• Onboard new billing staff by training them in laboratory coding and billing methods.

• Participate in meetings with Pathologists, LIS, Revenue Cycle, and HIM regarding coding and auditing matters.

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

• Stay updated on current coding regulations and ensure team members are informed about any changes.

• Analyze coding-related denials, determine underlying causes, and provide leadership with suggestions for resolution.

• Foster collaborative relationships to enhance accurate system configuration.

• Monitor and analyze role functions for reporting purposes.

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

• Develop coding guidelines with Laboratory Leadership and ensure timely completion of coding team audits.

• Report any compliance or other issues to Laboratory Leadership as required.

⛳️ Requirements

• High school diploma or G.E.D.

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

• Certified Professional Coder (CPC) certification from AAPC.

• Experience in coding.

• Capability to fulfill the essential job functions of a Laboratory Billing & Coding Representative.

• Proficient in CPT, HCPCS, modifiers, and place of service coding.

• Familiarity with laboratory coding and billing practices.

• Understanding of current coding regulations and compliance standards.

• Competence in auditing laboratory billing workflows and charge integrity.

• Ability to analyze billing data, performance metrics, benchmarks, and coding-related denials.

• Experience with EPIC and laboratory information systems (LIS).

🏝️ Benefits

• Comprehensive benefits package for team members and providers.

• Remote work arrangement.

• Monday-Friday day schedule.