Xtensys
Professional Coding Educator Auditor Specialist
Xtensys, Northeast Ithaca, New York, United States
Professional Coding Educator Auditor Specialist
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Professional Coding Educator Auditor Specialist
role at
Xtensys
Job Summary Under the direction of the Revenue Cycle Supervisor and Manager, the Coding Educator Specialist reviews and audits documentation and coding across multiple specialties using CPT, ICD‑10‑CM, HCPCS and modifiers. Responsibilities include providing audit reports, provider education, and support for coders on compliance issues. The role is integral to ensuring accurate coding, meeting quality and productivity targets, and upholding government regulations such as HIPAA and Medicare.
Job Responsibilities
Work closely with various departments, including physicians and healthcare providers, to clarify documentation and ensure accurate coding.
Attend all mandatory annual educational programs and participate in AAPC/AHIMA webinars related to assigned specialties.
Initiate actions to bring documentation into compliance with coding standards under the direction of the Coding Manager.
Develop, implement, and monitor the annual auditing/review schedule with goals and deadlines directed by the Coding Manager and Supervisor.
Work with coders to identify ongoing documentation trends and develop education strategies to improve compliance.
Provide ongoing coding and documentation review using guidelines, and offer education and support for providers as needed.
Attend all Coding Department meetings and other meetings as directed by the Coding Manager.
Conduct audits of medical records and coding practices to ensure adherence to quality standards and regulatory requirements.
Conduct one‑on‑one and group training sessions to address audit findings or performance gaps.
Serve as the go‑to resource for coding questions from providers and coding staff.
Track educational outcomes and adapt content to meet evolving needs.
Support onboarding of new coders with role‑specific education.
Achieve established quality and productivity goals as defined by the department.
Ensure coding practices comply with government regulations (e.g., HIPAA, Medicare) and insurance guidelines, maintaining high levels of accuracy in code assignment.
Requirements Education:
High school diploma or equivalent with additional coursework at approved coding seminars or courses; Coding Certification with AAPC or AHIMA required (RHIT, CCS, CPC, etc.). Certified Coding Auditor (CCA, CPMA) or Certified Professional Medical Auditor is a plus.
Experience:
A minimum of 3–5 years coding experience preferred. Must have knowledge of ICD‑10, CPT‑4, and HCPCS coding for physician billing, E/M standards and specifications. Reimbursement and billing experience in Medicare‑B, Medicaid, and other third‑party payers, plus data entry experience in a physician billing environment, is a plus. Epic experience also a plus.
Physical Requirements:
Lifting up to 20 pounds, standing or sitting for extended periods, and repetitive use of hands and fingers.
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Professional Coding Educator Auditor Specialist
role at
Xtensys
Job Summary Under the direction of the Revenue Cycle Supervisor and Manager, the Coding Educator Specialist reviews and audits documentation and coding across multiple specialties using CPT, ICD‑10‑CM, HCPCS and modifiers. Responsibilities include providing audit reports, provider education, and support for coders on compliance issues. The role is integral to ensuring accurate coding, meeting quality and productivity targets, and upholding government regulations such as HIPAA and Medicare.
Job Responsibilities
Work closely with various departments, including physicians and healthcare providers, to clarify documentation and ensure accurate coding.
Attend all mandatory annual educational programs and participate in AAPC/AHIMA webinars related to assigned specialties.
Initiate actions to bring documentation into compliance with coding standards under the direction of the Coding Manager.
Develop, implement, and monitor the annual auditing/review schedule with goals and deadlines directed by the Coding Manager and Supervisor.
Work with coders to identify ongoing documentation trends and develop education strategies to improve compliance.
Provide ongoing coding and documentation review using guidelines, and offer education and support for providers as needed.
Attend all Coding Department meetings and other meetings as directed by the Coding Manager.
Conduct audits of medical records and coding practices to ensure adherence to quality standards and regulatory requirements.
Conduct one‑on‑one and group training sessions to address audit findings or performance gaps.
Serve as the go‑to resource for coding questions from providers and coding staff.
Track educational outcomes and adapt content to meet evolving needs.
Support onboarding of new coders with role‑specific education.
Achieve established quality and productivity goals as defined by the department.
Ensure coding practices comply with government regulations (e.g., HIPAA, Medicare) and insurance guidelines, maintaining high levels of accuracy in code assignment.
Requirements Education:
High school diploma or equivalent with additional coursework at approved coding seminars or courses; Coding Certification with AAPC or AHIMA required (RHIT, CCS, CPC, etc.). Certified Coding Auditor (CCA, CPMA) or Certified Professional Medical Auditor is a plus.
Experience:
A minimum of 3–5 years coding experience preferred. Must have knowledge of ICD‑10, CPT‑4, and HCPCS coding for physician billing, E/M standards and specifications. Reimbursement and billing experience in Medicare‑B, Medicaid, and other third‑party payers, plus data entry experience in a physician billing environment, is a plus. Epic experience also a plus.
Physical Requirements:
Lifting up to 20 pounds, standing or sitting for extended periods, and repetitive use of hands and fingers.
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