Documentation & Coding Auditor

About the role

Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists and coders, and educates them. This job has no supervisory responsibilities.

Major/Essential Functions

• Position is based in Lubbock; weekly travel to and from Amarillo is required for training.
• Plan and perform proactive compliance activities, including risk-based audits, pre-bill or concurrent reviews, data monitoring, targeted education, policy or template reviews, and department consultations.
• Identify and address billing compliance risks before issues escalate by using audit trends, payer updates, denial patterns, regulatory changes, stakeholder feedback, and risk assessment results.
• Partner with departments before new services, workflows, locations, provider groups, or documentation tools are implemented to assess and reduce billing, coding, documentation, supervision, and reimbursement risks.
• Maintain or contribute to tracking tools, such as issue logs, risk registers, work plan trackers, audit dashboards, corrective action trackers, education trackers, consultation logs, and reporting calendars.
• Prepare and present ideas, findings, and information to appropriate staff.
• Work collaboratively with providers, residents, coding staff, clinic administrators, leadership, and other stakeholders.
• Occasional duties include assisting in the annual Compliance Symposium and participating in annual risk assessment and work plan development.

Required Qualifications

• High School graduate or equivalency and five years of coding and reimbursement experience, of which 1 year may be as a coding auditor.
• Additional job-specific education may substitute for the experience.
• Active professional coding certification from an accredited organization (e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA)).
• Certification must remain current during term of employment.
• Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.

Benefits

• Individual health insurance provided at no cost for full-time team members
• Paid Time Off (holidays, vacation, sick leave)
• Retirement plans
• Wellness programs
• Certified Mother-Friendly Workplace
• Lifelong learning programs, recognition programs, and health and wellness initiatives
• Special membership rates at local gyms and golf courses
• Access to state-of-the-art software and facilities
• Discounts on travel, technology, and entertainment