Job Details

Job Title: Auditor & Educator - Revenue Integrity
Primary Location: Chicago, IL (Hybrid/Onsite as required)
Position Type: Direct Hire

Overview

TalentFish is casting a line for an Auditor & Educator - Revenue Integrity to support a high-performing healthcare organization. This role is a key member of the Revenue Integrity team and is responsible for auditing EMR documentation, ensuring accurate coding and documentation, and partnering closely with clinical providers to improve revenue cycle integrity. The Auditor & Educator identifies trends, provides targeted education, and supports compliance initiatives to optimize reimbursement and reduce denials.

What You Bring to the Role (Ideal Experience)

• Bachelor's Degree OR Associate's Degree with 5+ years of auditing experience
• Active CPC or CCS-P certification
• RHIA or RHIT certification with physician-based coding experience (contingent upon obtaining CPC or CCS-P within 6 months, if applicable)
• 3+ years of E/M and/or surgical coding experience
• Advanced knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage
• Strong understanding of federal, state, and payer-specific coding, billing, and documentation regulations
• Demonstrated ability to analyze patient records and identify coding non-conformances
• Experience with healthcare billing systems; Epic Ambulatory experience strongly preferred
• Excellent communication, organization, and provider-facing education skills
• Commitment to continuous learning and quality improvement

Preferred Experience

• Certified Professional Medical Auditor (CPMA)
• Surgical coding certifications
• Experience in a teaching hospital environment
• Prior experience with billing, claims processing, and denial management
• Experience working in hospital or clinical settings

What You'll Do (Skills Used in This Position)

• Coordinate, schedule, and perform audits of professional services and clinical documentation
• Review EMR documentation to ensure accuracy, compliance, and reimbursement optimization
• Audit CPT, ICD-10, and modifier utilization for professional billing
• Analyze charge submissions, claims, denials, payments, and follow-up activities for accuracy and timeliness
• Prepare detailed written audit reports for internal leadership, clinical leadership, and providers
• Develop and deliver targeted education, training materials, and learning tools for providers and coders
• Provide ongoing education related to coding, documentation standards, and EMR charge capture
• Serve as a liaison for clinical coding inquiries within the professional billing revenue cycle
• Collaborate with physician leaders, Revenue Cycle, Compliance, IS, and administrative teams
• Analyze billing trends to identify non-compliance risks and improvement opportunities
• Assist with claim denial analysis and corrective action planning
• Support compliance investigations and special projects, as needed
• Track coding quality improvements, ROI, and support continuous process improvement initiatives
• Perform all duties aligned with organizational service principles and patient-centered values

Compensation Information
The expected salary range for this position is $38-$42/hr depending on experience and qualifications. This role also qualifies for comprehensive benefits such as health insurance, 401(k), and paid time off. TalentFish is committed to pay transparency and equal opportunity. The salary range provided is in compliance with applicable state and federal regulations.

This role requires authorization to work in the U.S. without current or future visa sponsorship.

All offers are contingent upon the completion of a background check, which may include but is not limited to reference checks, education verification, employment verification, drug testing, criminal records checks, and any required certifications or compliance requirements based on the end client's background check policies and applicable laws.

TalentFish is an employee-owned company pioneering a new realm in talent acquisition. We are redefining IT staffing by evolving AI, video screening, and our unique platform. TalentFish focuses on providing the best employee, consultant, and client experience possible.
At TalentFish we are an Equal Opportunity Employer; we embrace and encourage diversity!