Compliance Coding Auditor / Educator

Employment Type: Full time • Shift: Day Shift

About the role

Trinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to serve as the subject-matter expert and point of contact for IHA offices and the Revenue Department regarding proper coding procedures and workflow for existing medical services. You will provide professional expertise and education in CPT, ICD, and HCC coding.

Responsibilities

• Develops and leads audit projects for medical-record integrity.
• Reports audit results utilizing a standard reporting process.
• Identifies new errors while performing audits, investigates, and assesses root cause.
• Performs one-on-one audit meetings with 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, ICD-10, and HCC coding standards and procedures.

Requirements

• Bachelor’s degree or equivalent combination of education and experience.
• Certified Professional Coder or RHIT is required; Certified Auditor of HIM designation is preferred.
• Minimum of 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.

Benefits

• Day-one benefits for eligible team members with no waiting period.
• Opportunities for career growth and professional development.
• Supportive, team-oriented workplace culture.

About us

At Trinity Health IHA Medical Group, we are committed to delivering outstanding patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. We honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.