Auditor Coding Education & Training (Non-Exempt)

We’re a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

Overview:

The auditor is responsible for reviewing and analyzing documentation present in the medical record for inpatient, outpatient and/or professional services to analyze diagnoses/procedure codes as described by the provider(s) of record. This position is responsible for performing revenue audit functions as assigned. The functions will be varied, and require a broad knowledge of the revenue cycle, as well as the compliance structure as defined by the Federal Sentencing Guidelines. These functions support the appropriate reimbursement and compliance with governmental billing regulations across the Mercy SSU's. This position will work closely with multidisciplinary team within each Community to provide support and facilitate compliant processes. Analyzing and presenting complex revenue information to support operational and strategic decision making. The position provides compliance support to the organizations revenue cycle including oversight and analysis of quarterly RVU reports, assistance with physician incentive requirements, preparation and completion of annual audit schedules and various other coding analysis. As necessary the auditor prepares reports of findings and meets with providers and/or coders to provide education and training on accurate coding practices and compliance issues. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Qualifications:

• Education: High school diploma.
• Experience: At least 5 years of coding experience in ICD-9-CM diagnosis/procedure coding and HCPCS/CPT procedure coding in an acute care or professional services setting, with awareness of coding requirements based on those payors, i.e., MS DRG, APC, CPT, ICD, HCPCS OR At least 5 years of experience in health care coding and compliance related activities, i.e., audits, edits, 7 elements of a compliance program, OIG and DOJ investigation project management, compliance committee participation.
• Certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS) (CCS-P), Certified Professional Coder (CPC) (CPC-P), Certified Outpatient Coder, Certified Professional Medical Auditor (CPMA) or Certified in Healthcare Compliance (CHC) to be completed within 6 months of employment Other: Knowledge of state, federal, and local regulations and requirements pertaining to documentation, coding, and billing required Exceptional written and verbal communication skills required.
• Preferred Education: A.S. from an accredited Health Information Technology program or B.S. from an accredited Health Information Management Program
• Preferred Certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS) (CCS-P), Certified Professional Coder (CPC) (CPC-P), Certified Professional Medical Auditor (CPMA) or Certified in Healthcare Compliance (CHC) to be completed within 6 months of employment.
• Preferred Other: Minimum of 3 years inpatient and/or outpatient auditing experience Previous coding training experience Excellent computer skills including Microsoft Office Outlook, Excel, and Word required. Working knowledge of 3M encoder and the Epic system preferred.

We Offer Great Benefits:

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

We’re bringing to life a healing ministry through compassionate care.

At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

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