ASC/Professional Surgical Coding Auditor & Educator (Healthcare)

TL;DR

ASC/Professional Surgical Coding Auditor & Educator (Healthcare): Auditing professional surgical coding and documentation for complex services with an accent on CPT, ICD-10, HCPCS, HCC, payer guidelines, and revenue integrity. Focus on identifying compliance risks, improving coding accuracy, and designing targeted education for providers and coding professionals.

Location: Remote position based in the United States; listed in Livonia, Michigan.

Company

A large healthcare organization providing hospital, clinical, and support services.

What you will do

• Review complex surgical procedures and high-acuity services for accurate code selection and documentation.
• Conduct comprehensive audits of professional coders and providers against CPT, ICD-10, HCPCS, HCC, and payer-specific guidelines.
• Analyze coding and documentation patterns to identify compliance, regulatory, and revenue-integrity risks.
• Provide actionable feedback to providers, coders, and leadership to improve documentation and coding accuracy.
• Develop and deliver education, onboarding, and training based on audit findings, regulatory updates, and knowledge gaps.
• Prepare analytical reports, summarize trends, and recommend practical improvements to support leadership decisions.

Requirements

• Associate degree in Health Information Management or a related field, or an equivalent combination of education and experience.
• Five or more years of professional coding experience, including surgical procedures, plus two years of auditing and/or education experience.
• Extensive knowledge of ICD-10, HCPCS, CPT, HCC, medical terminology, Medicare and Medicaid regulations, and payer policies.
• Required certification: RHIT, RHIA, CCS, or CPC.
• Ability to maintain coding audit accuracy of at least 95% and complete assigned audit and education plans.
• Ability to work remotely from the United States.

Nice to have

• Bachelor’s degree in Health Information Management or a related healthcare field.
• Previous experience with provider education and auditing.
• CPMA, CRC, or CDEO certification.

Culture & Benefits

• Mission-driven, person-centered healthcare environment.
• Commitment to dignity, inclusion, equal opportunity, and collaboration.
• Work includes computer-based analysis, reporting, education, and support activities.
• Occasional travel, clinical-environment exposure, and physical activities may be required.