Provider Coding Education Specialist

Job Details

Purpose

The Provider Education and Audit Specialist plays a crucial role in ensuring accurate and compliant coding practices within the healthcare organization. This position is responsible for educating healthcare providers on coding guidelines and best practices, as well as conducting regular audits to assess coding accuracy and compliance with regulatory requirements. Reporting to The Clinical Revenue Cycle Manager, the Provider Education and Audit Specialist is instrumental in optimizing revenue capture, minimizing compliance risk, and enhancing provider performance through targeted education and data-driven insights.

Responsibilities

Conducts Provider Audits

• Plans and executes annual audits of coding practices across departments.
• Reviews provider documentation and coding for accuracy, completeness, and compliance with CMS, CPT, ICD-10, and payer-specific guidelines.
• Identifies areas of improvement and provides feedback to providers and relevant stakeholders based on audit findings.
• Maintains comprehensive records of audit results, compliance issues, and corrective actions taken
• Prepares reports and presentations summarizing audit findings, trends, and recommendations for improvement using current audit software.

Develops and Delivers Provider Education

Supports Regulatory Compliance

Collaborates with Revenue Cycle and Clinical Teams

Serves as a Coding Resource and Analyzes Trends

Required Qualifications

Preferred Qualifications

Salary Range

$63,000 + depending on qualifications

Working Conditions

Required Materials

Resume / CV

3 work references with their contact information; at least one reference should be from a supervisor

Letter of interest

Important   for applicants who are NOT current university employees or contingent workers :  You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.

Important for Current university employees and contingent workers :  As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.

Employment Eligibility :

Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion / transfer eligible may apply for positions without supervisor approval.

Retirement Plan Eligibility :

The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.

Background Checks :

A criminal history background check will be required for finalist(s) under consideration for this position.