Compliance Coding Auditor / Educator
About the role
Trinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding.
Responsibilities
- Develops and leads audit projects for medical record integrity.
- Repots audit results utilizing a standard reporting process.
- Identifies new errors while performing audits, investigates and assesses root cause.
- Performs one-on-one Audit meetings and providers for corrective educational guidance.
- Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelines
- Provides training for IHA staff and providers on CPT, ICD10 and HCC coding standards and procedures.
Requirements
MINIMUM EXPERIENCE: 2 years of experience coding, reimbursement analysis, insurance issue resolution and medical record auditing. Previous experience with primary and multi-specialty care preferred. Health Information Management and data management experience is highly desirable.
Qualifications
EDUCATION: Bachelor’s degree or equivalent combination of education and experience. CREDENTIALS/LICENSURE: Certified Professional Coder or RHIT is required, Certified Auditor of HIM designation is preferred.
Benefits
- Day-one benefits for eligible team members with no waiting period.
- Opportunities for career growth and professional development.
- Supportive, team-oriented workplace culture.
- Meaningful work helping patients access the care they need.
- A mission-driven organization serving communities across Southeast Michigan.
Schedule
Employment Type: Full time Shift: Day Shift