Revenue Cycle Auditor-Educator Coding

About the Role

As our Revenue Cycle Auditor-Educator Coding, you will leverage your expert knowledge of current ICD (diagnostic and procedural) and CPT-4 coding classification systems in this advanced-level position. This pivotal role ensures the highest standards of coding accuracy and compliance across our organization, directly impacting revenue cycle integrity and patient care documentation.

You will serve as the go-to resource for answering complex coding and billing questions, play a key role in the onboarding and training of new staff, perform critical coding/DRG validation audits, and lead the development and deployment of comprehensive coding and CDI (Clinical Documentation Integrity) education programs.

Working with the coding and CDI leadership team, you will plan and execute system-wide training, conduct internal audits with follow-up education, and facilitate the standardization of best practices. You will also monitor and communicate regulatory coding and billing changes for timely and accurate implementation.

Responsibilities

• Ensure coding/CDI practices adhere to compliant and regulatory requirements, upholding ethical standards (AAPC/AHIMA).
• Monitor work queues/worklists to meet KPIs, productivity, and accuracy standards, and identify complex issue resolutions.
• Act as a liaison with various departments (CDI, PFS, Patient Registration, Clinical Staff) to resolve problems and improve workflow.
• Assist leadership in strategic planning, communicate effectively, deliver presentations, and demonstrate strong leadership.
• Identify training needs, collaborate on audit results and education, and develop/execute process improvement projects.
• Assess tools to prevent errors/denials, promote a professional/team-oriented environment, and provide remote computer troubleshooting.

Requirements

• Associate’s degree in HIM/related field or Associate’s degree in Nursing.
• 4-6 years performing coding CDI audits and education in large multifacility healthcare systems.
• Certification from AHIMA (CCS, RHIT, RHIA, CDIP), AAPC (CIC), and/or ACDIS (CCDS) to be maintained.
• Deep understanding of healthcare coding guidelines (ICD-10, CPT-4), DRG validation, and revenue cycle best practices.
• Proven experience in coding education, auditing, and compliance.
• Ability to act as a liaison between CDI, physicians, clinical quality, and patient financial services.

About the Organization

CommonSpirit Health is one of the nation’s largest nonprofit Catholic healthcare organizations, delivering more than 20 million patient encounters annually through more than 2,300 clinics, care sites, and 137 hospital-based locations, in addition to home-based services and virtual care offerings. With over 157,000 employees, 45,000 nurses, and 25,000 physicians and advanced practice providers across 24 states, CommonSpirit contributes more than $4.2 billion annually in charity care, community benefits, and unreimbursed government programs.

Pay

$39.27 - $64.80 per hour.