Coding Auditor Educator
Job in
Wyoming, Hamilton County, Ohio, USA
Listed on 2026-03-02
Listing for:
Highmark Health
Full Time
position Listed on 2026-03-02
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration
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
- Supportive and collaborative work environment
- Chance to make a positive impact on coding accuracy and compliance
- Involvement in training and mentoring new staff
- Engaging in audits to improve documentation and reimbursement processes
- Conduct audits on documentation, coding, and billing for compliance with regulatory requirements
- Develop and deliver training programs based on audit findings to address deficiencies
- Validate coding systems and ensure compliance with DRG/APC structures
- Create and monitor inpatient case mix reports to identify patterns and trends
- Review and interpret medical information to classify it into appropriate coding groups
- High school diploma or GED
- Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
- AHIMA Credentials:
Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) - AAPC Credentials:
Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or Certified Professional Medical Auditor (CPMA) - Minimum of 5 years of experience in hospital or physician coding and/or auditing
- Associate's Degree
- 3 years of experience in claims processing and data management
- Background in auditing with strong education/training in coding and reimbursement
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