Documentation & Coding Auditor - Billing Compliance

Position Description Performs coding and documentation quality audits, provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.

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 escalate 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 to appropriate staff.
• Work collaboratively with providers, residents, coding staff, clinic administrators, leadership, and other stakeholders.

Required Qualifications High School graduate or equivalency and five (5) years of 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.

Preferred Qualifications

• Experience conducting risk-based and retrospective documentation and coding audits.
• Experience in an academic medical center, physician group practice, hospital, or other complex healthcare organization.
• Experience developing and delivering documentation, coding, and billing compliance education to physicians, advanced practice providers, residents, coders, and other staff.
• Experience preparing formal audit reports, identifying root causes, recommending corrective actions, and conducting follow-up monitoring.

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.

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 website at https://app4.ttuhsc.edu/payplan.

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.