Regional Coding and Documentation Auditor/Educator

Job Overview

The Regional Coding and Documentation Auditor/Educator will assist management in the daily education and auditing of coding operations. They will review and evaluate coding completed by coding staff and report to management. They will be responsible for conducting and coordinating audits of provider's professional documentation in both the clinic and hospital chart to ensure that the correct services are being billed; provide education and consistent feedback to the provider's and provide reports to appropriate stakeholders. They will review charge tickets and related documentation to ensure documentation supports the level billed by providers. They will also ensure physician services are coded according to guidelines. This position is a Hybrid position. There may be scheduled shifts that require to be on-site. 

Fairview Range is an affiliate of Fairview Health Services. Together, we offer access to breakthrough medical research and specialty expertise as part of a continuum of care that reaches all ages and health needs. The most comprehensive health care network in northeastern Minnesota, Fairview Range includes Fairview Range Hospital, Fairview Range Clinics (with locations in Hibbing, Nashwauk, and Mountain Iron), and Fairview Range Home Care and Hospice.

Fairview Grand Itasca brings the benefits of a large and respected health system to our local community. We are a non-profit, state-of-the-art, integrated clinic and hospital that is proud to offer a range of high-quality providers, specialties and services to our community. Enjoy our patient-centered, comprehensive approach, close to home without venturing from the beauty of northern Minnesota.

Internal Post: 11/15/26

Responsibilities

• Conduct internal audits of medical documentation and coding for clinic providers, hospital providers, rehab providers and ancillary services.
• Conduct internal audits on coding completed by coding staff and report to management.
• Communicate the results of the audits to the providers/coders and assist in the development of provider education based on audit findings.
• Provide follow-up reviews after initial training sessions and determine if additional education is needed.
• Prepare written reports to trend provider levels of service, documentation issues and detailed audit reports to communicate the results to the Compliance Committee.
• Review of provider documentation for quality concerns and reporting of documentation that reflects any patient neglect, abuse, inappropriate behavior, etc.
• Provide formal and informal coding and regulatory education to all providers and coders include coding and documentation requirements as directed by Federal and State regulations and the AMA.
• Coordinate bi-yearly external audits and reviews of coding accuracy and provider documentation.
• ICD-10 Support.
• Conduct Ad Hoc audits, as necessary.

Required Qualifications

• Prior hospital, clinical, or coding experience
• 1 year of experience in auditing role, medical record review, or other insurance industry experience
• Cert. Prof. Medical Auditor or eligible for exam within 2 Yrs

Preferred Qualifications

• Knowledge of CPT, ICD-10, and HCPCS coding

Benefit Overview

Fairview Range offers a generous benefits package, including but not limited to medical, dental,vision, PTO, tuition reimbursement, retirement and more! Please follow this link for additional information: https://www.fairview.org/benefits/rangenoncontract

Compensation Disclaimer

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status