Provider Coding Education Specialist

Provider Coding Education Specialist Job Details 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 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 Specialist optimizes revenue capture, minimizes compliance risk, and enhances provider performance through targeted education and data‑driven insights. Responsibilities Plan and execute annual audits of coding practices across departments. Review provider documentation and coding for accuracy, completeness, and compliance with CMS, CPT, ICD-10, and payer‑specific guidelines. Identify areas of improvement and provide feedback to providers and stakeholders based on audit findings. Maintain comprehensive records of audit results, compliance issues, and corrective actions taken. Prepare reports and presentations summarizing audit findings, trends, and recommendations for improvement. Develop and deliver educational programs and materials to healthcare providers on coding principles, guidelines, and updates. Conduct training sessions and workshops to enhance providers’ understanding and application of coding standards. Educate providers on audit findings and regulatory updates. Create educational materials, tip sheets, and job aids tailored to provider specialties. Provide one‑on‑one coaching to providers as needed. Stay updated on changes in coding regulations and industry standards to ensure educational materials and audit processes remain current. Ensure provider practices align with OIG, CMS, and payer compliance standards. Participate in internal and external audits and support corrective action plans. Maintain documentation of education and audit activities for compliance tracking. Collaborate with revenue cycle management to align coding practices with organizational policies and regulatory standards. Foster collaborative relationships with clinical staff, billing specialists, and administrative personnel. Participate in interdisciplinary meetings to address documentation and billing issues. Provide feedback to leadership on systemic issues impacting compliance or reimbursement. Serve as a resource and point of contact for coding‑related inquiries and issues. Utilize audit software and reporting tools to track provider performance. Identify opportunities for improvement based on audit outcomes and KPIs. Prepare reports for leadership review and recommend process improvements based on data analysis. Required Qualifications Bachelor’s degree in Healthcare Administration or a related field. Certifications in one or more of the following: CPC‑I, CPC, CPMA, CPPM, CDEO, CPCO, CCS. Three 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 considered. Preferred Qualifications Master’s degree in Health Informatics, Public Health, or a related field. Five years of relevant experience in medical coding, auditing, or coding education in a large multi‑specialty academic practice or an 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 occupational hazards such as communicable diseases, blood‑borne pathogens, ionizing and non‑ionizing radiation, hazardous medications and disoriented or combative patients. Required Materials Resume/CV Three work references with contact information; at least one should be from a supervisor. Letter of interest Important for applicants who are NOT current university employees or contingent workers: Submit your resume the first time you apply. Additional materials (letter of interest, references, etc.) can be uploaded in the Application Questions section and cannot be changed after submission. Important for Current university employees and contingent workers: Apply within Workday by searching for Find UT Jobs and complete the required sections in your Professional Profile before applying. Employment Eligibility Regular staff employed for the last six continuous months and promotion/transfer eligible staff may apply without supervisor approval. Equal Opportunity Employer The University of Texas at Austin is an equal opportunity/affirmative action employer. We comply with all applicable federal and state laws regarding nondiscrimination and affirmative action. We do not discriminate based on race, color, national origin, age, marital status, sex, sexual orientation, gender identity, disability, religion, or veteran status. Pay Transparency The University will not discriminate against employees or applicants for inquiring about or disclosing their own pay or the pay of another. Employment Eligibility Verification Hired employees must complete the federal I‑9 form and provide original documents no later than the third day of employment. E‑Verify The University uses E‑Verify to check work authorization of all new hires. 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