Laboratory Coding Auditor – Educator

Carle Health

Laboratory Coding Auditor/Educator supporting Carle Health’s Illinois healthcare system. Auditing CPT/HCPCS billing, educating coding teams, and improving laboratory charge integrity and compliance.

Posted 8/18/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $25 - $42 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in laboratory coding and billing practices, including CPT, HCPCS, and compliance regulations. Proficient in auditing workflows and analyzing billing data to enhance departmental performance and accuracy.

Highest-signal resume keywords

Registered Health Information Technician (RHIT)Certified Professional Coder (CPC)CPT, HCPCS, Modifier, and Place of Service CodingLaboratory Coding and Billing PracticesEPIC and Laboratory Information Systems (LIS)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding AuditsBilling Workflow AuditsCharge Integrity AuditsData AnalysisAudit-Process Statistics Compilation

Soft Skills

Education and TrainingCollaborationCommunication

Tools & Technologies

EPICLaboratory Information Systems (LIS)

Certifications & Qualifications

Registered Health Information Technician (RHIT)Certified Professional Coder (CPC)

Industry Keywords

Laboratory Revenue IntegrityRevenue Cycle Management (RCM)Coding RegulationsCompliance RequirementsCoding-Related Denials

About the role

Key responsibilities & impact

Assist the Laboratory Revenue Integrity & RCM Manager in managing audits and audit schedules
Conduct coding audits for Laboratory Coding & Billing Representatives and Pathologists covering CPT, HCPCS, modifier, and place of service coding
Provide one-on-one and group education to team members and Pathologists
Conduct billing workflow and charge integrity audits to ensure laboratory orders and charges accurately transmit to EPIC
Compile and track audit-process statistics
Serve as the department’s senior coding resource
Train new billing staff in laboratory coding and billing practices
Attend meetings with Pathologists, LIS, Revenue Cycle, and HIM regarding coding and auditing
Interpret and analyze billing data to identify and monitor departmental performance and benchmarks
Maintain current coding regulations and ensure team members are updated as regulations change
Trend coding-related denials, identify root causes, and advise leadership on resolution opportunities
Build collaborative relationships to support accurate system configuration
Track and trend role functions for reporting
Review audits and education needs with the Manager of Laboratory Revenue Integrity & RCM
Establish coding guidelines with Laboratory Leadership and ensure coding team audits are completed timely
Report compliance and other concerns to Laboratory Leadership as needed

Requirements

What you’ll need

High school diploma or G.E.D.
Registered Health Information Technician (RHIT) certification from AHIMA
Certified Professional Coder (CPC) certification from AAPC
Coding experience
Ability to perform the essential job functions of a Laboratory Billing & Coding Representative
Knowledge of CPT, HCPCS, modifier, and place of service coding
Knowledge of laboratory coding and billing practices
Knowledge of current coding regulations and compliance requirements
Ability to audit laboratory billing workflows and charge integrity
Ability to analyze billing data, performance, benchmarks, and coding-related denials
Ability to work with EPIC and laboratory information systems (LIS)

Benefits

Comp & perks

Comprehensive benefits package for team members and providers
Remote work arrangement
Monday-Friday day schedule