Documentation & Coding Auditor - Billing Compliance

About the role

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

Responsibilities

• 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.

Requirements

• High school diploma or GED equivalent.
• Five (5) years of coding and reimbursement experience, of which one (1) year may be as a coding auditor. Additional job-specific education may substitute for 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 employment.
• Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.

Preferred Experience

• Experience conducting risk-based and retrospective documentation and coding audits.
• Experience in an academic medical center, physician group practice, hospital, or other complex healthcare organization.
• Experience developing and delivering documentation, coding, and billing compliance education to physicians, advanced practice providers, residents, coders, and other staff.
• Experience preparing formal audit reports, identifying root causes, recommending corrective actions, and conducting follow-up monitoring.

Pay

Salary range: $45,000–$60,000.

Location: Lubbock, Texas. Job ID: 485962BR. Category: Clinical/Compliance. Job Code: Compliance_Specialist Compliance. Affiliate Sponsor: Texas Tech University Health Sciences Center.