Trinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding.
What You'll Do:
- Develops and leads audit projects for medical record integrity.
- Repots audit results utilizing a standard reporting process.
- Identifies new errors while performing audits, investigates and assesses root cause.
- Performs one-on-one Audit meetings and providers for corrective educational guidance.
- Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelines
- Provides training for IHA staff and providers on CPT, ICD10 and HCC coding standards and procedures.
General Requirements:
- EDUCATION: Bachelor’s degree or equivalent combination of education and experience.
- CREDENTIALS/LICENSURE: Certified Professional Coder or RHIT is required, Certified Auditor of HIM designation is preferred.
- MINIMUM EXPERIENCE: 2 years of experience coding, reimbursement analysis, insurance issue resolution and medical record auditing. Previous experience with primary and multi-specialty care preferred. Health Information Management and data management experience is highly desirable.
Why Join Trinity Health IHA Medical Group?
- Day-one benefits for eligible team members with no waiting period.
- Opportunities for career growth and professional development.
- Supportive, team-oriented workplace culture.
- Meaningful work helping patients access the care they need.
- A mission-driven organization serving communities across Southeast Michigan.
At Trinity Health IHA Medical Group, we are committed to delivering outstanding patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you're passionate about helping others and providing exceptional customer service, we'd love to hear from you.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Skills Required
- Bachelor's degree or equivalent combination of education and experience
- Certified Professional Coder (CPC) or RHIT
- Certified Auditor or HIM designation
- Minimum 2 years experience in coding, reimbursement analysis, insurance issue resolution and medical record auditing
- Experience with primary care and multi-specialty care
- Subject matter expertise in CPT, ICD-10, and HCC coding
- Proficiency with Microsoft Word, Excel, PowerPoint, Windows, intranet navigation, EHR and EPM systems
- Ability to create, present, and deliver provider and staff education in-person and virtually
- Ability to travel to offices and training sites
- Maintain appropriate licensure/certification and continuing education as applicable
What We Do
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.
