HonorHealth · 8 hours ago
Audit Coding Consultant
Arizona, United States
Full-time
Onsite
Mid, Senior Level
3+ years expHonorHealth is one of Arizona’s largest nonprofit healthcare systems, and they are seeking an Audit Coding Consultant to ensure compliance with coding and documentation guidelines. The role involves auditing, developing educational materials, and training providers and coders while ensuring accuracy in coding and reimbursement processes.
Health Care
Responsibilities
Ensure appropriate methodology to include financial controls, identification of trends and unusual patterns, reimbursement deficiencies, and to improve processes. Confirm appropriate services are provided in accordance with examination protocol and medical billing. Work with vendor to ensure audit processes maintain appropriate controls, providing feedback to both vendor and physicians regarding results. Identify unusual examiner patterns based on trends identifiable to the vendor/provider or coder. Identify deficiencies in the reimbursement process and opportunities for appropriate reimbursement. Provide a detailed report listing the findings and any adjustments required to the invoices for all inappropriately invoiced services. Make recommendation for improvements in processes or policies and create/execute provider education for individuals and/or group sessions. Maintain audit results and ensure provider movement throughout the compliance audit plan. Analyze and confirm external results and as appropriate, which with senior leadership and compliance to create action plans
Research guidelines and regulations for proposed lines of business. Keep revenue cycle and physicians updated on new or changing regulations. Work with IT to ensure that codes are updated and build for new services include required data points
Performs other duties as assigned
Qualification
Required
Associate's Degree or 2 years' work related experience
3 years Revenue Cycle experience
3 years Professional Coding experience
Professional coding Auditor certification
Certified Professional Coder (CPC) Professional coding certification
Preferred
Bachelor's Degree
5 years coding leadership experience or equivalent
Benefits
Diverse benefits portfolio for our full-time and part-time team members
Robust training and development programs
Company
HonorHealth
HonorHealth represent integrity & honesty and honor your right to personalized, easy-to-navigate healthcare.
10001+ employees
H1B Sponsorship
HonorHealth 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 (8)
2023 (1)
2022 (1)
Funding
Current Stage
Late StageLeadership Team
Todd LaPorte
CEO
Recent News
2026-01-17
Company data provided by crunchbase