What are the responsibilities and job description for the Coding Educator and Auditor Full Time 40 hours position at BRISTOL HOSPITAL GROUP?
Job Details
Description
$10,000 Sign on Bonus Eligible!
Medical Record Coding Compliance Auditor & Educator
At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral partof our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy(C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Useyour expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice. Perform ongoing chart audits of new and established provider medical records and billing documentation along timelines established by Billing Manager.
Job Summary:
The Coding Educator and Auditor plays a pivotal role in ensuring compliance with coding and documentation requirements while serving as the primary point of contact for payer audit requests. This position is responsible for conducting provider education, performing chart audits, and maintaining accurate records of audit findings. The ideal candidate is detail-oriented, highly organized, and able to work independently while collaborating with providers, coders, and billing teams to ensure consistent compliance with regulatory standards.
Key Responsibilities:
• Serve as the primary liaison for payer audit requests, ensuring timely responses and accurate documentation.
• Stay current with coding and documentation requirements, adhering to HIPAA and Medicare guidelines.
• Provide ICD-10 and CPT training and education to physicians, coders, billers, and office staff.
• Coordinate the dissemination of chart audit findings and educate providers and staff on areas for improvement.
• Maintain accurate, up-to-date records of audit findings and education.
• Prepare and deliver reports to the financial stakeholders and providers, highlighting audit results and trends.
• Regularly update coding and documentation manuals to reflect current standards.
• Develop and implement quarterly audit compliance monitoring activities.
• Review provider charts using EMR software, with the ability to audit at least 8 charts per hour.
• Benchmark audit findings against national average bell curves and provide detailed reports within 48 hours of chart review.
• Proactively seek opportunities for skill development and continued learning.
• Provide backup support for surgical coding and charge entry as needed.
Skills and Competencies:
• Excellent oral and written communication skills.
• Strong attention to detail and ability to prioritize tasks effectively.
• Ability to function independently under general supervision.
• Exceptional organizational skills with the capacity to follow complex, multi-step directions.
Qualifications
Qualifications
Education:
• Associate’s degree with a minimum of three years of healthcare experience required.
• Bachelor’s degree preferred.
• Successful completion of a coding certificate program.
Certifications:
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.
• Multiple coding certifications preferred. -
• Certified Professional Medical Auditor (CPMA) preferred.
Experience:
• Previous auditing experience strongly preferred.
• Demonstrated experience in medical coding.
• Experience providing training and education to billing staff and clinicians.
Physical and Work Environment Requirements:
• Must be able to sit, stand, stoop, and bend for extended periods.
• Requires continuous use of computer screens and fine dexterity for data input.
• Vision and hearing must be corrected to normal levels.
• Work is performed in a standard office setting.
Disclaimer:
The responsibilities and duties outlined are representative of the role but are not exhaustive. Employees may be required to perform additional tasks as necessary to meet the needs of the organization.
