Revenue Integrity Educator II - Revenue Cycle

WHY UT SOUTHWESTERN?With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report , we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!BENEFITSUT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:PPO medical plan, available day one at no cost for full-time employee-only coverage100% coverage for preventive healthcare-no copayPaid Time Off, available day oneRetirement Programs through the Teacher Retirement System of Texas (TRS)Paid Parental Leave BenefitWellness programsTuition ReimbursementPublic Service Loan Forgiveness (PSLF) Qualified EmployerLearn more about these and other UTSW employee benefits! JOB SUMMARYUT Southwestern is actively seeking an experienced Revenue Integrity Educator II to join our Revenue Cycle Front End team. We are looking for someone with the following skills and experience:Strong surgical coding experience in one of these specialties: Ophthalmology, OB/GYN, Ortho, Neurosurgery, Otolaryngology, Spine, Urology, and/or Plastic.Initiative taking, Technology savvy.Epic experience is strongly preferred.Certification as a Certified Professional Coder (CPC) is required; CPMA highly preferred but not required.Experience and confidence with educating providers regarding proper coding.Ability to complete provider audits on different surgical specialties and communications with the Revenue Cycle teams and leaders.Experience with developing educational material.Ability to communicate professionally with providers and all personnel. As a Revenue Integrity Educator II , you will play a key role in advancing coding accuracy and billing compliance, educate providers on proper coding practices, conduct audits across surgical specialties, and develop impactful training materials. You'll collaborate with Revenue Cycle and Compliance teams, support provider onboarding, and perform documentation and charge reviews to ensure regulatory alignment. This role is ideal for a detail-oriented coding professional with strong communication skills, surgical coding expertise, and a passion for education. If you have at least 5 years of coding and auditing experience and hold a CPC, CCS, CMC, or CPMA certification (Epic experience preferred), we encourage you to apply.Shift Requirement: 8-hour flex shift, Monday through Friday.Work From Home (WFH) Availability: This is a WFH position. Must live within Texas. The preferred candidate lives in the DFW area. Cannot consider candidates who live out of state.EXPERIENCE AND EDUCATIONRequiredEducationHigh School Diploma or equivalent.Experience5 years experience in a professional billing environment with emphasis on coding, auditing and compliance responsibilitiesLicenses and Certifications(CPC) CERT PROFESSIONAL CODER Upon Hire or(CCS) CERT CODING SPECIALIST Upon Hire or(CMC) CERT MEDICAL CODER Upon Hire PreferredEducationAssociate's Degree or two years of college.Licenses and Certifications(CPMA) Cert Prof Medical Auditor Upon Hire JOB DUTIESServes as a professional billing integrity leader, under supervision of Sr. Professional Billing Integrity Educator or Supervisor, to develop and conduct individual or group presentations on coding, billing and compliance topics, based on new regulatory and 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 (e.g., Charge Analyzer, Code Correct), denials, external audit findings, etc. Assists Sr. Professional Billing Integrity Educator or Supervisor with development and deployment of any action plans required.Conducts standardized new provider coding and compliance training ("onboarding") for physicians, advanced practice providers and other professional practitioners, in two or more service lines/divisions. Training may be conducted in an individual or group setting.Performs post-onboarding pre-bill review of professional charges and follow-up with new providers to confirm understanding of procedure, modifier and diagnosis code assignment, as well as, documentation requirements to promote billing compliance. Supporting two or more service lines, with supervision by Sr. Professional Billing Integrity Educator or Supervisor.Conducts increasingly independent reviews on adequacy of medical record documentation, to support the procedure, modifier and diagnosis coding of evaluation and management (E&M) services and low-moderate complexity diagnostic/therapeutic services, billed by physicians, practitioners or billing staff, in two or more service areas. Working with Sr. Professional Billing Integrity Educator or Supervisor, develops reports that summarize outcomes. Provides input on recommended corrective action plans.Research coding, documentation and reimbursement policy questions or problems submitted by physicians, practitioners, supported-departments, billing staff and others, to ensure compliance with specific payer and/or government regulations. Assist Senior Billing Integrity Educator and/or supervisor with responses. Escalates issues beyond their scope to Senior Billing Integrity Educator, Supervisor or Manager.In coordination with the Compliance Office, support and/or conduct Billing Compliance risk-based audits.Complete charge review and follow-up EPIC work queue assignments, within department timeliness standards, under guidance of the Senior Billing Integrity Educator or supervisor. Assists with quality assurance reviews for internal or contractor staff to verify the coding or other work is consistent and supported by regulations, University guidelines and/or MSRDP Medicine Audit Plan.Assists with training for contractor staff on the use of audit software, EPIC, internal audit plan, work queue assignments, etc. as needed.Performs other duties, as assigned. SECURITY AND EEO STATEMENTSecurityThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.EEO