Revenue Integrity Auditor & Educator III

Job Description

Revenue Integrity Auditor & Educator III ()

UT Southwestern Medical Center offers a new opportunity for a Revenue Integrity Educator III, working under minimal supervision to develop and conduct educational presentations on coding, billing and compliance topics.

UT Southwestern is a world‑renowned medical and research center in Dallas‑Fort Worth, offering a competitive benefits package, professional growth opportunities and a culture of teamwork and professionalism.

• Develop and conduct individual or group presentations on coding, billing and compliance topics based on new regulations and professional coding industry information.
• Research coding, documentation and reimbursement policy questions and prepare timely responses.
• Conduct independent reviews on the adequacy of medical record documentation to support coding decisions and develop recommended solutions/action plans.
• Perform pre‑bill reviews of professional charges for new providers and provide follow‑up to confirm understanding of documentation requirements.
• Provide education to new internal or contractor staff on audit software, EPIC, internal audit plan, work queue assignments, and more.
• Monitor work queues regularly to ensure timely resolution of charges/questions and perform quality assurance reviews.
• Lead billing compliance risk‑based audits and resulting education with the Compliance Office.

• 6 years of experience in a professional billing environment with emphasis on coding, auditing and/or compliance responsibilities.
• Certifications:
  
  (CPC) Certified Professional Coder upon hire or (CCS) Certified Coding Specialist upon hire or (CMC) Certified Medical Coder upon hire or (CPMA) Certified Prof Medical Auditor within 1 year.
• Preferred:
  Bachelor’s Degree and (RN) Registered Nurse upon hire.
• Education:
  
  High School Diploma or equivalent.

• Monday through Friday, 8 am – 5 pm.
• Work‑From‑Home (WFH) opportunity; candidates must live in Texas.

• PPO medical plan, day‑one at no cost for full‑time employee‑only coverage.
• Paid Time Off, day‑one.
• Retirement Programs through the Teacher Retirement System of Texas (TRS).
• Paid Parental Leave Benefit.
• Wellness programs.
• Tuition Reimbursement.
• Public Service Loan Forgiveness (PSLF) Qualified Employer.

UT Southwestern Medical Center is a security‑sensitive position subject to Texas Education Code 51.215 and commits to an equal‑opportunity employment environment, prohibiting unlawful discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, veteran status, and genetic information.

UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, Texas 75390. Phone 214‑648‑3111