Pro Fee Auditor/Educator

Presbyterian Healthcare Services

Remote Pro Fee Auditor/Educator at Presbyterian Healthcare Services ensuring coding compliance and documentation quality. Supporting audits and educational programs while working independently in a remote setting.

Posted 7/22/2026full-timeRemote • New Mexico • 🇺🇸 United StatesMid-LevelSenior💰 $57,242 - $87,422 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in coding compliance, auditing, and regulatory standards, with a strong focus on medical terminology and billing practices. Capable of developing educational programs and conducting audits to ensure adherence to coding policies and procedures.

Highest-signal resume keywords

Coding ComplianceAuditing ExperienceMedical Terminology KnowledgeRHIT/RHIA/CPC/CCS CertificationProficient in Medicare and Medicaid Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-9 KnowledgeCPT-4 KnowledgeHCPCS KnowledgeCoding Policies ImplementationQuality AssuranceBilling ReviewClaim Appeals ManagementRegulatory ResearchInternal AuditsDocumentation Support

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationDetail OrientedResults OrientedOrganizational Skills

Tools & Technologies

Microsoft WordMicrosoft PowerPointMicrosoft ExcelInternet Research Tools

Certifications & Qualifications

RHITRHIACPCCCS

Industry Keywords

Coding PoliciesRegulatory CompliancePayer CommunicationQuality MonitoringEducational Program Development

About the role

Key responsibilities & impact

Support the Coding and documentation quality assurance (CDQA) team
Implementation of and compliance with enterprise-wide and department coding policies and procedures for PHS
Compliance to all external regulatory agency coding rules and regulations
Perform and/or manage on-site internal audits or reviews to assess compliance/quality monitoring
Serve as a resource on documentation, coding, billing, and coding compliance questions
Develop and present educational programs and information dissemination
Audit and training support for coding, audit, and physician personnel identified as low performers
Perform medical record and billing reviews of denied and appealed claims
Coordinate review and tracking of appealed claims and communication with affected payers
Research and interpret all regulatory agency regulations

Requirements

What you’ll need

High school diploma/GED required
Must possess at least one of the following license/certifications: RHIT, RHIA, CPC, CCS
Minimum of three (3) years experience in coding and/or auditing required
Audit experience preferred
Excellent written and verbal communication skills
Detail and results oriented
Ability to work independently and make independent decisions
Medical terminology, ICD-9, CPT-4 and HCPCS knowledge required
Proficient knowledge of Medicare, Medicaid, and other third party payer documentation, coding, and billing regulations
Excellent organizational and planning skills
Proficient with Microsoft Word, PowerPoint, and Excel applications
Must be able to use the internet and other resource applications for research purposes

Benefits

Comp & perks

Medical
Dental
Vision
Short-term and long-term disability
Group term life insurance
Other optional voluntary benefits
Employee Wellness rewards program