Revenue Integrity Educator II - Revenue Cycle
The University of Texas Southwestern Medical Center, Dallas, TX, United States
About the Role
Revenue Integrity Educator II – Revenue Cycle (940791) – provides coding education, audits, and compliance support within the Revenue Cycle Front End team.
Responsibilities
Develop and conduct individual or group presentations on coding, billing and compliance topics.
Conduct standardized new provider coding and compliance training ("onboarding") for physicians and other professional practitioners.
Perform post‑onboarding pre‑bill review of professional charges and follow‑up with new providers to confirm understanding of coding requirements.
Conduct independent reviews of adequacy of medical record documentation to support procedure, modifier and diagnosis coding.
Research coding, documentation and reimbursement policy questions or problems submitted by providers and staff.
Coordinate with Compliance Office to support and conduct Billing Compliance risk‑based audits.
Complete charge review and follow‑up EPIC work queue assignments under guidance of Senior Billing Integrity Educator.
Assist with training for contractor staff on audit software, EPIC and internal audit plan.
Perform other duties as assigned.
Qualifications
5+ years of experience in a professional billing environment with emphasis on coding, auditing and compliance responsibilities.
Strong surgical coding experience in specialties such as Ophthalmology, OB/GYN, Orthopedics, Neurosurgery, Otolaryngology, Spine, Urology, and/or Plastic Surgery.
Certification as a Certified Professional Coder (CPC) required; CPMA or CCS preferred.
Experience educating providers regarding proper coding practices.
Experience completing provider audits across surgical specialties and communicating with Revenue Cycle teams.
Experience developing educational material.
Strong communication, initiative‑taking and technology savvy.
Epic experience strongly preferred.
High school diploma or equivalent; associate’s degree or two years of college preferred.
Shift Requirement
8‑hour flex shift, Monday through Friday.
Work From Home Availability
This is a WFH position located in Texas. Preferred candidates are in the DFW area; out‑of‑state candidates will not be considered.
Benefits
UT Southwestern offers a competitive comprehensive benefits package:
PPO medical plan, available day one at no cost for full‑time employee‑only coverage
Paid Time Off, available 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
Security and EEO Statement
Security : This position is security‑sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO : UT Southwestern Medical Center is an equal opportunity employer and prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, and veteran status. The university also prohibits discrimination based on sexual orientation, gender identity, or gender expression and provides equal opportunity to all members of the university community.
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Revenue Integrity Educator II – Revenue Cycle (940791) – provides coding education, audits, and compliance support within the Revenue Cycle Front End team.
Responsibilities
Develop and conduct individual or group presentations on coding, billing and compliance topics.
Conduct standardized new provider coding and compliance training ("onboarding") for physicians and other professional practitioners.
Perform post‑onboarding pre‑bill review of professional charges and follow‑up with new providers to confirm understanding of coding requirements.
Conduct independent reviews of adequacy of medical record documentation to support procedure, modifier and diagnosis coding.
Research coding, documentation and reimbursement policy questions or problems submitted by providers and staff.
Coordinate with Compliance Office to support and conduct Billing Compliance risk‑based audits.
Complete charge review and follow‑up EPIC work queue assignments under guidance of Senior Billing Integrity Educator.
Assist with training for contractor staff on audit software, EPIC and internal audit plan.
Perform other duties as assigned.
Qualifications
5+ years of experience in a professional billing environment with emphasis on coding, auditing and compliance responsibilities.
Strong surgical coding experience in specialties such as Ophthalmology, OB/GYN, Orthopedics, Neurosurgery, Otolaryngology, Spine, Urology, and/or Plastic Surgery.
Certification as a Certified Professional Coder (CPC) required; CPMA or CCS preferred.
Experience educating providers regarding proper coding practices.
Experience completing provider audits across surgical specialties and communicating with Revenue Cycle teams.
Experience developing educational material.
Strong communication, initiative‑taking and technology savvy.
Epic experience strongly preferred.
High school diploma or equivalent; associate’s degree or two years of college preferred.
Shift Requirement
8‑hour flex shift, Monday through Friday.
Work From Home Availability
This is a WFH position located in Texas. Preferred candidates are in the DFW area; out‑of‑state candidates will not be considered.
Benefits
UT Southwestern offers a competitive comprehensive benefits package:
PPO medical plan, available day one at no cost for full‑time employee‑only coverage
Paid Time Off, available 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
Security and EEO Statement
Security : This position is security‑sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO : UT Southwestern Medical Center is an equal opportunity employer and prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, and veteran status. The university also prohibits discrimination based on sexual orientation, gender identity, or gender expression and provides equal opportunity to all members of the university community.
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