Lead Surgical Coding Auditor

Overview

Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. This position may be remote for well‑qualified applicants, but incumbents must be located in Minnesota or Wisconsin.

Benefits

• Medical, Dental, Vision coverage
• Free Life Insurance
• Generous Paid Time Off (PTO) plan
• Free short‑term and long‑term disability coverage
• 401(k) plan with company contribution
• Wellness program that rewards a healthy lifestyle
• Tuition reimbursement
• Employee Assistance Program and discount program for select retailers
• Free parking
• Career growth and development opportunities
• Supportive team and resources

Responsibilities

• Under minimal supervision, perform comprehensive audits for assigned surgeons (gynecologic, thoracic, and colo‑rectal), verifying critical element documentation and pathway exception documentation in compliance with federal, state, and payor guidelines.
• Provide effective educational feedback to physicians on audit findings, updates, and best‑practice documentation.
• Support and adhere to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.
• Perform EMR chart audits to ensure medical records align with captured charges and billing.
• Work directly with providers to train and advise on supporting documentation for optimal reimbursement.
• Prepare detailed reports of findings, highlighting discrepancies and opportunities for improvement.
• Identify coding and documentation trends that may be non‑compliant with local guidelines.
• Recommend procedural improvements and training opportunities to management.
• Provide written audit reports to supervisor for review and approval.
• Review approved audit findings with physicians individually and in group settings.
• Collaborate with Health Information Management (HIM), CDI, and billing teams to resolve documentation and coding issues.
• Maintain confidentiality of all medical information contained in records.
• Complete other reasonably related duties as assigned.

Qualifications

• High School diploma or GED (Associate’s or Bachelor’s degree in Health Information Management or related field preferred).
• 7+ years of billing, coding, and medical records experience.
• 1+ years of auditor/educator experience (required).
• Surgical experience strongly preferred.
• CPC certification highly desired.
• Broad knowledge of managed care, HMO policies, procedures, and Medicare benefits.
• Strong knowledge of current ICD, CPT, and HCPCS versions.

Competencies

• Strong math skills and attention to detail.
• Excellent oral and written communication skills.
• Excellent organizational and follow‑up skills.
• Ability to work independently.
• Ability to independently research issues and apply laws & standards.

Physical Demands

The role requires regular presence at the employment site during business hours, with frequent sitting or standing, talking, and hearing. Employees must regularly use hands to finger, handle, or feel, and occasionally reach with hands and arms. Occasionally, lifting or moving up to 10 pounds is required. Vision requirements include close vision and the ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

Work Environment

Work is performed in an office, clinical, or classroom setting and involves significant interaction with corporate and network staff, co‑workers, management, and clients. The role may require minimal automobile travel to other US Oncology Network locations. The environment is professional and collaborative, supporting both in‑person and remote work arrangements.

Pay

$85,000 – $105,000 annually