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Coding Investigator Auditor
Tulsa, OK Chicago, IL Richardson, TX Full time 04/28/2026 R0049986 Compensation: $55,900.00 - $123,500.00At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
The Coding Investigator Auditor role is responsible for conducting billing, coding, and documentation reviews of professional and outpatient claims for services in both a pre and post payment environment to validate the accuracy and adherence specific to ICD-10-CM, CPT, HCPCS and CMS coding guidelines, specific to unbundling, duplicate billing, upcoding, misuse of modifiers, violation of provider contract, medical policy adherence. Operational efficiency with coding guidelines, internal and internal policies, provider contracts, state regulations and other information to validate the claims submitted and billed. In addition, this role is responsible for conducting research, preparing documentation and communication of findings, and consulting with internal departments and staff as needed.Bachelor’s Degree; in lieu of degree one year of claims or coding experience, may substitute for each year of college.
Certified Coding Certification (CPC, COC, CCS, CCS-P, RHIT, RHIA) or acquire within 24 months of hire
3 years’ experience in claims processing operations and reporting systems, including 2 years’ experience in auditing, or developing computer system reports.
Adhere to time management, production and quality standards as set by the department.
Professional communication skills, oral and written.
Prioritize multiple assignments and multiple spreadsheets, documents, and reports.
Industry knowledge of Medicare regulations and payment policies, including OPPS
Proficient in computer applications such as Microsoft Excel, Teams, PowerPoint, Word, and Outlook
Preferred Job Qualifications:
2+ years certified coding experience,
#LI-LK1
#LI-Hybrid
Compensation: $55,900.00 - $123,500.00
Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
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