[Remote] Laboratory Coding Auditor/Educator

Note: The job is a remote job and is open to candidates in USA. Carle Health is a healthcare organization committed to supporting patient care across central and southeastern Illinois. The Laboratory Coding Auditor/Educator oversees coding and charge integrity audits, provides coding education and training, analyzes billing data and denial trends, and supports laboratory leadership with regulatory compliance and accurate billing workflows.

Responsibilities

• Must be able to perform essential job functions of Laboratory Billing & Coding Representative
• Assists Laboratory Revenue Integrity & RCM Manager in managing audits and audit schedules
• Provides coding audits to Laboratory Coding & Billing Representatives and Pathologists specific to CPT, HCPCS, modifier, and place of service coding
• Provides education as needed, either one-on-one or group format to team members and Pathologists
• Provides billing workflow and charge integrity audits to ensure laboratory orders and charges accurately transmit to EPIC
• Compiles and tracks statistics related to the audit process
• Serves as senior coding resource for department
• Responsible for training new billing staff in laboratory coding and billing practices
• Attend meetings as required with Pathologists, LIS, Revenue Cycle, and HIM on topics related to coding and auditing
• Supports manager by interpreting and analyzing billing data to identify and monitor performance and established benchmarks for the department
• Maintains knowledge of current and required coding regulations and assures team members are updated as regulations change
• Trends coding-related denials, identifies root causes, and advises leadership on opportunities to resolve trends
• Builds collaborative relationships with laboratory departments, pathologists, LIS, Revenue Cycle Systems, and other departments to support accurate system configuration
• Tracks and trends all role functions for reporting purposes
• Meet with Manager of Laboratory Revenue Integrity & RCM to review audits and attend meetings as required on topics related to coding and auditing education needs and follow up
• Work with Laboratory Leadership to establish coding guidelines and assure coding team audits are completed timely
• Report compliance or other concerns directly to Laboratory Leadership as needed or indicated

Skills

• Must be able to perform essential job functions of Laboratory Billing & Coding Representative
• Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
• Highschool Diploma or G.E.D
• Coding

Benefits

• Remote work
• Potential for growth and life-long careers at Carle Health
• Comprehensive benefits package for team members and providers

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