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TalentFish · 15 hours ago

Coding Auditor and Educator

Chicago, IL

Contract

Onsite

Mid, Senior Level

$40/hr - $45/hr

3+ years exp

TalentFish is seeking a contract to hire Auditor & Educator – Revenue Integrity to support a high-performing healthcare organization. This role involves auditing EMR documentation, ensuring accurate coding, and partnering with clinical providers to enhance revenue cycle integrity and compliance initiatives.

EmploymentHuman ResourcesStaffing Agency

Hiring Manager

Maxine Hill

Responsibilities

Coordinate, schedule, and perform audits of professional services and clinical documentation

Review EMR documentation to ensure accuracy, compliance, and reimbursement optimization

Audit CPT, ICD-10, and modifier utilization for professional billing

Analyze charge submissions, claims, denials, payments, and follow-up activities for accuracy and timeliness

Prepare detailed written audit reports for internal leadership, clinical leadership, and providers

Develop and deliver targeted education, training materials, and learning tools for providers and coders

Provide ongoing education related to coding, documentation standards, and EMR charge capture

Serve as a liaison for clinical coding inquiries within the professional billing revenue cycle

Collaborate with physician leaders, Revenue Cycle, Compliance, IS, and administrative teams

Analyze billing trends to identify noncompliance risks and improvement opportunities

Assist with claim denial analysis and corrective action planning

Support compliance investigations and special projects as needed

Track coding quality improvements, ROI, and support continuous process improvement initiatives

Perform all duties aligned with organizational service principles and patient-centered values

Qualification

CPC certificationCCS-P certificationE/M coding experienceCPT knowledgeICD-10-CM knowledgeHCPCS knowledgeHealthcare billing systemsEducation skillsCommunication skillsOrganizational skills