Rush University Medical Center ยท 20 hours ago
Coding Auditor and Educator-23987
Chicago, IL
Full-time
Onsite
Mid Level
$32/hr - $52.08/hr
3+ years expRush University Medical Center is a leading healthcare provider, and they are seeking a Coding Auditor and Educator to join their Revenue Integrity team. The role involves conducting reviews of EMR documentation to ensure coding accuracy, collaborating with clinical providers, and developing educational programs to improve revenue cycle integrity.
Clinical TrialsEducationHealth CareMedicalTraining
Responsibilities
Coordinates, schedules, and performs reviews of professional services and documentation performed by RUMG & ROPPG providers
Evaluates clinical documentation to identify inconsistency or improvement opportunities that could impact reimbursement, revenue integrity, and/or reduce denials
Reviews charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation
Prepares written reports of the audit findings to internal leadership, clinical leadership, and providers
Develops educational presentations, learning tools, and training material
Provides education for both providers and coders for appropriate CPT, ICD-10, and modifiers based on supporting documentation and EMR charge capture support
Serves as a liaison point of contact for clinical coding inquiries and communication for professional billing revenue cycle
Seeks to establish collaborative relationships with physician leaders, clinical providers, IS, Corporate Compliance, Revenue Cycle, and administrative leadership in the support of coding education and documentation adequacy
Assists with claim denial reports to ensure optimal reimbursement
Analyzes billing trends to identify areas of non-compliance and prepares regular reports on review findings to appropriate committees
Assists in the development of corrective action plans and participates in compliance investigations as needed
Manages special projects individually or in collaboration with other departments
Track coding quality and documentation improvements to measure ROI, organizational growth and support of CPI initiatives
Performs job functions adhering to service principles with customer service focus on I-Care values
Qualification
Required
Associates degree in health information management, other related field, or 3 years of relevant experience
Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P)
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification in conjunction with physician based coding experience, including evaluation & management (E/M) and surgical coding experience, may be considered contingent upon CPC or CCS-P certification being acquired within the first 6 months of employment
Three years of E/M and/or surgical coding experience
Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines
Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10-CM and HCPCS code assignment by passing a department administered coding proficiency test
Demonstrates commitment to continuous learning and performs as a role model to other coding staff
Strong communication and organizational skills
Preferred
Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications
Experience working in a Teaching Hospital setting
Prior experience with billing and claims processing
Prior experience working in a hospital or clinical setting
Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Epic Ambulatory
Company
Rush University Medical Center
Rush University Medical Center offers healthcare services for children and adults, clinical trials, medical education and training services.
10001+ employees
H1B Sponsorship
Rush University Medical Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (64)
2024 (85)
2023 (64)
2022 (81)
2021 (65)
2020 (66)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Richa Gupta
Chief Operating Officer, Rush University Medical Group
Courtney Cole Kammer
Senior Vice President, Chief Human Resources Officer
Recent News
GlobeNewswire
2026-01-02
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