Texas Tech University Health Sciences Center El Paso
Medical Coding Auditor
Texas Tech University Health Sciences Center El Paso, El Paso, Texas, us, 88568
42910BR
Extended Job Title:
Medical Coding Auditor
Org Level 1:
Texas Tech Unv Hlth Sci Ctr El Paso
Position Description:
Responsible for auditing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to provide education on medical coding and documentation based on audit findings and as required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve coding accuracy and assure regulatory requirements are met.
Requisition ID:
42910BR
Travel Required:
Up to 25%
Major/Essential Functions:
Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance
Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines
Identify and address coding discrepancies and recommend corrective actions
Prepare detailed audit reports with findings and provide feedback on documentation and coding practices
Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies andregulations
Stay current with changes in coding guidelines, healthcare regulations, and payer policies
Assist in developing and refining audit tools, policies, and procedures to support continuous improvement
Monitor and track corrective actions post-audit, ensuring follow-up to resolve identified issues
Ensure abstracted data impacting reimbursement for all clinical locations is accurate: discharge disposition,indicators, procedure dates of service, etc.
Adhere to physician and facility coding guidelines and coding policy and procedures, as needed
Lead coding/charge posting team communications/huddles, projects, and communicate Key Performance Indicator(KPI) requirements as determined by the Medical Coding Auditor Manager
Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle andmaking recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA,Medicaid, Medicare, and specific 3rd Party Payors)
Collaborate with appropriate teams to ensure claims data is transferred through the clearinghouse appropriately
Maintain professional relationships and collaborate across teams, managing projects, facilitating meetings, andpresenting in various settings, including senior leadership
Remains current with all licensure, certifications and mandatory compliances and trainings required of this position
Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSCEP OPs, etc.)
Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability,Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staffacross the institution
Perform all other duties as assigned
Performs duties in-person or remotely, as approved, ensuring consistent availability, productively and responsiveness during established work hours
Grant Funded?:
No
Minimum Hire Rate:
Compensation is commensurate upon the qualifications of the individual selected
Pay Basis:
Monthly
Work Location:
El Paso
Preferred Qualifications:
5 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
Prior experience reviewing medical records to ensure accurate coding and compliance with regulatory requirements in an academic medical orhealth sciences center
Campus:
HSC - El Paso
Department:
Institutional Compliance Offc Elp
Required Attachments:
Cover Letter, Resume / CV, Transcript
Job Type:
Full Time
Pay Statement:
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.
Job Group:
Business Professionals
Shift:
Day
EEO Statement:
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
Required Qualifications:
Bachelor's degree in business or related field with one year of related experience OR combination of education and/or related experience to equal 5 years
Minimum 2 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
Current CPC (Certified Profressional Coder), CCS (Certified Coding Specialist), or CBCS (Certified Billing and Coding Specialist)
Does this position work in a research laboratory?:
No
Jeanne Clery Act:
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx
Extended Job Title:
Medical Coding Auditor
Org Level 1:
Texas Tech Unv Hlth Sci Ctr El Paso
Position Description:
Responsible for auditing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to provide education on medical coding and documentation based on audit findings and as required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve coding accuracy and assure regulatory requirements are met.
Requisition ID:
42910BR
Travel Required:
Up to 25%
Major/Essential Functions:
Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance
Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines
Identify and address coding discrepancies and recommend corrective actions
Prepare detailed audit reports with findings and provide feedback on documentation and coding practices
Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies andregulations
Stay current with changes in coding guidelines, healthcare regulations, and payer policies
Assist in developing and refining audit tools, policies, and procedures to support continuous improvement
Monitor and track corrective actions post-audit, ensuring follow-up to resolve identified issues
Ensure abstracted data impacting reimbursement for all clinical locations is accurate: discharge disposition,indicators, procedure dates of service, etc.
Adhere to physician and facility coding guidelines and coding policy and procedures, as needed
Lead coding/charge posting team communications/huddles, projects, and communicate Key Performance Indicator(KPI) requirements as determined by the Medical Coding Auditor Manager
Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle andmaking recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA,Medicaid, Medicare, and specific 3rd Party Payors)
Collaborate with appropriate teams to ensure claims data is transferred through the clearinghouse appropriately
Maintain professional relationships and collaborate across teams, managing projects, facilitating meetings, andpresenting in various settings, including senior leadership
Remains current with all licensure, certifications and mandatory compliances and trainings required of this position
Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSCEP OPs, etc.)
Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability,Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staffacross the institution
Perform all other duties as assigned
Performs duties in-person or remotely, as approved, ensuring consistent availability, productively and responsiveness during established work hours
Grant Funded?:
No
Minimum Hire Rate:
Compensation is commensurate upon the qualifications of the individual selected
Pay Basis:
Monthly
Work Location:
El Paso
Preferred Qualifications:
5 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
Prior experience reviewing medical records to ensure accurate coding and compliance with regulatory requirements in an academic medical orhealth sciences center
Campus:
HSC - El Paso
Department:
Institutional Compliance Offc Elp
Required Attachments:
Cover Letter, Resume / CV, Transcript
Job Type:
Full Time
Pay Statement:
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.
Job Group:
Business Professionals
Shift:
Day
EEO Statement:
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
Required Qualifications:
Bachelor's degree in business or related field with one year of related experience OR combination of education and/or related experience to equal 5 years
Minimum 2 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
Current CPC (Certified Profressional Coder), CCS (Certified Coding Specialist), or CBCS (Certified Billing and Coding Specialist)
Does this position work in a research laboratory?:
No
Jeanne Clery Act:
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx