Revenue Integrity Educator 3
No salary listed
Senior
Bachelor's
Dallas, TX, USA
In Person
TrainingCorporate & Technical Training
About the job
Requirements
- A high school diploma or equivalent is required.
- Six years of experience in a professional billing environment, emphasizing coding, auditing, and/or compliance responsibilities, is required.
- One of the following certifications is required: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Medical Coder (CMC) upon hire, or Certified Professional Medical Auditor (CPMA) within one year.
Responsibilities
- Serve as a professional billing integrity project leader across all service lines, developing and conducting individual or group presentations on coding, billing, and compliance topics based on new regulatory or professional coding industry information, pre-bill professional charge review findings, University-identified risk areas, or special projects requested by MSRDP leadership. This may include medical record audits, invoice analysis, and review of internal reports, denials, and external audit findings.
- Develop and deploy required quality improvement or corrective action plans, monitor intended improvements or needed alterations, and report progress to a supervisor or manager.
- Develop and conduct standardized or specialty-driven coding and compliance onboarding for new providers across service lines, including physicians, advanced practice providers, and other professional practitioners, individually or in groups. Keep the onboarding schedule current and covered by team members, and regularly review and revise onboarding platforms and processes with the supervisor and team.
- Perform post-onboarding pre-bill review of professional charges across service lines. Provide feedback and follow-up to new providers on procedure, modifier, and diagnosis code assignment and documentation requirements to promote billing compliance. Assist the supervisor in ensuring pending charges are reviewed and released promptly according to MSRDP standards.
- Independently review medical record documentation for adequacy in supporting procedure, modifier, and diagnosis coding across service lines, and identify potential compliance risks. Develop recommended solutions and action plans, which may include workflow revisions or education; summarize findings and develop risk-mitigation plans in response to requests from MSRDP leadership, department or division leadership, medical residency coordinators, and others.
- Research coding, documentation, and reimbursement policy questions or problems from physicians, practitioners, supported departments, billing staff, and others to ensure compliance with payer or government regulations and optimize reimbursement. Prepare timely responses based on research and escalate issues to a supervisor or manager when indicated.
- Support or conduct billing compliance risk-based audits and resulting education in coordination with the Compliance Office.
- Complete charge review and follow-up EPIC work queue assignments across service lines within department timeliness standards, with minimal supervisory guidance. Assist the supervisor in monitoring team work queues to ensure timely resolution of charges and questions.
- Conduct quality assurance reviews of internal or contractor staff to verify coding or other work complies with regulations, University guidelines, and/or the MSRDP Medicine Audit Plan, and provide reporting and education when indicated.
- Train new internal or contractor staff on audit software, EPIC, the internal audit plan, and work queue assignments as needed.
- Perform other duties as assigned.
Desired Qualifications
- A bachelor's degree is preferred.
- Registered Nurse (RN) certification is preferred upon hire.
About the company
UT Southwestern Medical Center is an academic medical center in Dallas, Texas, integrating patient care, biomedical research, and medical education. It operates a main campus and regional medical centers alongside four schools, including a medical school and graduate programs in health professions and public health. What sets UT Southwestern apart is research output ranked No. 1 worldwide by the Nature Index, backed by Nobel laureates on faculty. The goal is to advance medical discovery into better treatments and compassionate patient care.
Company Size
N/A
Company Stage
Grant
Total Funding
$18M
Headquarters
Dallas, Texas
Founded
N/A
Simplify's Take
What believers are saying
- The Stephens Greth Foundation gave $100 million on April 1, 2026 for the pediatric campus.
- InterAct licensing on March 24, 2026 targets metastatic cancer commercialization and royalties.
- World Cup 26 and Dallas Pulse partnerships expand brand visibility and community recruiting in 2026.
What critics are saying
- Paxton sued affiliate Jason Jarin on February 18, 2026, escalating Texas care restrictions.
- UT Southwestern lists twelve physician departures closing practices by June 30, 2026.
- Research reliance on NIH, ARPA-H, and state grants exposes labs to political budget shocks.
What makes UT Southwestern Medical Center unique
- UT Southwestern won up to $25 million ARPA-H funding for VITAL on January 12, 2026.
- Simmons Cancer Center joined AccessHope’s network in June 2024, extending national oncology reach.
- UT Southwestern operates the Texas Behavioral Health Center, opened June 16, 2026.
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Benefits
- Health Insurance
- Paid Vacation
- Paid Parental Leave
- 401(k) Retirement Plan
- Wellness Program
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer