Provider Education and Audit Specialist, Revenue Cycle

Job Posting Title: Provider Education and Audit Specialist, Revenue Cycle Hiring Department: Dell Medical School Position Open To: All Applicants Weekly Scheduled Hours: 40 FLSA Status: Non-Exempt Earliest Start Date: Immediately Position Duration: Expected to Continue Location: AUSTIN, TX 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 Develops and delivers educational programs and materials to healthcare providers on coding principles, guidelines, and updates. Conducts training sessions and workshops to enhance providers’ understanding and application of coding standards. Educates providers on audit findings and regulatory updates. Creates educational materials, tip sheets, and job aids tailored to provider specialties. Provides one‑on‑one coaching to providers as needed. Supports Regulatory Compliance Stays updated on changes in coding regulations and industry standards to ensure educational materials and audit processes remain current and effective. Ensures provider practices align with OIG, CMS, and payer compliance standards. Participates in internal and external audits and supports corrective action plans. Maintains documentation of education and audit activities for compliance tracking. Collaborates with Revenue Cycle and Clinical Teams Collaborates with revenue cycle management to ensure coding practices align with organizational policies and regulatory standards. Fosters collaborative relationships with clinical staff, billing specialists, and administrative personnel to promote accurate and compliant coding practices. Participates in interdisciplinary meetings to address documentation and billing issues. Provides feedback to leadership on systemic issues impacting compliance or reimbursement. Serves as a Coding Resource and Analyzes Trends Serves as a resource and point of contact for coding‑related inquiries and issues from providers and internal stakeholders. Utilizes audit software and reporting tools to track provider performance. Identifies opportunities for improvement based on audit outcomes and KPIs. Prepares reports for leadership review. Recommends process improvements based on data analysis. Required Qualifications Bachelor’s degree in Healthcare Administration or a related field. Certified Professional Medical Auditor (CPMA), Certified Professional Coder (CPC) through AAPC or Certified Coding Specialist (CCS) through AHIMA credential. 3 years of relevant experience in medical coding, auditing, or coding education within a healthcare setting. Strong knowledge of ICD‑10, CPT, HCPCS, and other coding systems and guidelines. Equivalent combination of education and experience may be considered. Preferred Qualifications Master’s degree in Health Informatics, Public Health or a related field. 5 years of relevant experience in medical coding, auditing, or coding education within a healthcare setting, preferably in a large multi‑specialty academic practice or an Ambulatory Surgical Center (ASC). Experience with MD Audit. Experience with Athena. Salary Range $63,000 + depending on qualifications Working Conditions Standard office equipment Repetitive use of a keyboard May be exposed to such occupational hazards as communicable diseases, blood borne pathogens, ionizing and non‑ionizing radiation, hazardous medications and disoriented or combative patients, or others. Equal Opportunity Employer The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions. Pay Transparency The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. #J-18808-Ljbffr Dormont Manufacturing Co