Position Description
The Documentation and Coding Auditor supports the billing compliance program by helping prevent, detect, and respond to billing, coding, reimbursement, and documentation risks. This role conducts proactive monitoring, auditing, education and risk assessment activities while also responding to identified concerns, audit findings, regulatory changes, and reported compliance issues.
Major/Essential Functions
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 escalates 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 in a clear, concise, and professional manner, communicating effectively through excellent oral and written communication skills.
Work collaboratively with providers, residents, coding staff, clinic administrators, leadership, and other stakeholders.
Occasional Duties
Assist in annual Compliance Symposium.
Participate in annual risk assessment and work plan development.
Travel to Lubbock for staff meetings, workplan development meeting, other functions. Usually two - three trips/year. May include overnight stay.
Required Qualifications
High School graduate or equivalency and five (5) years of medical billing coding and reimbursement experience of which one (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 to remain current during term of employment. Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.
Required Attachments
Cover Letter, Resume / CV
Benefits
TTUHSC is committed to creating an environment where our team members can do their best work, with programs and benefits to support head-to-toe well-being. Explore just a few of the advantages of being a TTUHSC team member:
Health Plans + Supplemental Coverage Options – Individual health insurance provided at no cost for full-time team members
Paid Time Off – Including holidays, vacation, sick leave and more
Retirement Plans
Wellness Programs
Certified Mother-Friendly Workplace
Additionally, TTUHSC invests in the success of our team members by providing opportunities for personal and professional growth, including lifelong learning programs, recognition programs, and health and wellness initiatives. Team members also enjoy a variety of other perks, such as special membership rates at local gyms and golf courses, access to state-of-the-art software and facilities, and discounts on travel, technology, entertainment and more.
EEO Statement
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.
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