Coding and Compliance Auditor & Educator - Remote
A Day in the Life of the Coding Compliance & Education Coordinator: You’ll be diving into clinical documentation and coding records, performing detailed audits to ensure every code is accurate, complete, and compliant with regulatory standards. You’ll analyze patterns, identify discrepancies, and provide actionable feedback that supports optimal reimbursement and quality reporting. You’ll assist with developing and delivering training sessions for coding staff, clinical providers, and other stakeholders. You’ll serve as the go-to expert for ICD-10-CM, ICD-10-PCS, CPT, and sequencing guidelines, helping teams stay current with evolving standards. You’ll work closely with the Coding Manager and other leaders, ensuring coding practices align with organizational goals. Whether you’re refining audit processes, answering complex coding questions, or creating educational materials, your work directly impacts compliance, revenue integrity, and patient care quality. Why Work at Regional West Health Services?
- Tuition reimbursement and professional development opportunities
- Generous 401K employee match
- Competitive compensation and comprehensive benefits
Here Is What You Will Be Doing:
- Identify patterns of coding errors, trends in documentation deficiencies, and opportunities for improvement.
- Review and respond to external audit findings and assist with preparation of appeal documentation when appropriate.
- Abide by the Standards of Ethical Coding as set forth by the American Academy of Professional Coders (AAPC) and adheres to official coding guidelines.
- Design, deliver, and evaluate coding education programs tailored to coders, clinicians, and other revenue cycle staff.
- Provide new coder onboarding, including systems training, documentation expectations, and compliance protocols.
- Monitor regulatory and coding updates (CMS, AHA Coding Clinic, OIG, etc.) and communicate relevant changes organization-wide.
- Identify educational needs on audit findings and provide targeted training.
- Collaborate cross-functionally with HIM, Compliance, Quality, and Revenue Cycle teams.
Desired Skills:
- Ability to retrieve, compile, and analyze clinical data, and present findings effectively.
- Accuracy in data entry and identifying quality or clinical issues in medical records.
- Skilled in working with multiple departments and presenting data at committee meetings.
- Experience assisting with planning and implementing clinical and data quality improvements.
- Commitment to maintaining confidentiality and pursuing ongoing professional growth.
Here Is What You Will Need:
- Associate’s degree in health information management, nursing, or a related healthcare field.
- One or more of the following:
- Certified Professional Coder (CPC) - AAPC
- Certified Coding Specialist (CCS) – AHIMA
- Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)
Nice to Have:
- Experience as a Registered Nurse or Licensed Practical Nurse with auditing experience.
- Minimum three years of progressive medical coding experience in an inpatient, outpatient, or physician practice setting.
- Experience developing and facilitating educational sessions.
About Regional West Health Services: Located in Scottsbluff, Nebraska, Regional West Health Services is an independent, mission-driven health system serving communities across western Nebraska. Our integrated network includes Regional West Medical Center, physician clinics, outpatient services, and senior care. We are committed to improving health outcomes, strengthening rural healthcare, and fostering operational excellence through collaboration and innovation. Regional West provides comprehensive and innovative healthcare services for the people of western Nebraska and the neighboring states of Colorado, South Dakota, and Wyoming. A conditional job offer is contingent upon successfully passing a pre-employment drug test and background checks. Apply tot his job Apply To this Job