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Coding Auditor Educator

Job in Cleveland, Cuyahoga County, Ohio, 44101, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-03-02
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding, Healthcare Compliance, Medical Records
Salary/Wage Range or Industry Benchmark: 44.13 USD Hourly USD 44.13 HOUR
Job Description & How to Apply Below

Employer Industry: Healthcare Services

Why consider this job opportunity:
  • Salary up to $44.13 per hour
  • Opportunity for career advancement and growth within the organization
  • Comprehensive benefits package, including health insurance and retirement plans
  • Supportive and collaborative work environment
  • Chance to make a significant impact on coding accuracy and compliance
  • Engaging educational opportunities for professional development
What to Expect (Job Responsibilities):
  • Conduct audits on documentation, coding, and billing practices across the employer's entities
  • Develop and deliver training programs to address deficiencies identified in audits
  • Validate coding systems and ensure compliance with regulatory requirements
  • Create and monitor inpatient case mix reports to identify trends and patterns
  • Provide guidance in response to external coding audits and prepare appeal actions as necessary
What is Required (Qualifications):
  • High school diploma or GED
  • Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
  • AHIMA Credentials (Inpatient or Outpatient):
    Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
  • AAPC Credentials (Outpatient):
    Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)
  • Minimum of 5 years of experience in hospital or physician coding and/or auditing
How to Stand Out (Preferred Qualifications):
  • Associate's Degree
  • 3 years of experience with claims processing and data management
  • Strong background in auditing and education/training related to coding and reimbursement
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