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Mercy · 1 day ago

Auditor Coding Educ & Training

Chesterfield, MO

Full-time

Onsite

Senior Level

5+ years exp

Mercy is a healthcare organization seeking an Auditor for Coding Education and Training. The auditor will review medical records for coding accuracy, perform revenue audits, and provide education on compliant coding practices to support the organization's revenue cycle and compliance with regulations.

AssociationChild CareFertilityHealth CareRehabilitation

Responsibilities

Review and analyze 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

Perform revenue audit functions as assigned

Support appropriate reimbursement and compliance with governmental billing regulations across the Mercy SSUs

Work closely with multidisciplinary team within each Community to provide support and facilitate compliant processes

Analyze and present complex revenue information to support operational and strategic decision-making

Provide compliance support to the organization's revenue cycle including oversight and analysis of quarterly RVU reports

Assist with physician incentive requirements, preparation and completion of annual audit schedules and various other coding analysis

Prepare reports of findings and meet with providers and/or coders to provide education and training on accurate coding practices

Qualification

ICD-10-CM codingDRGsAPCs codingCPT/HCPCS codingRHIA certificationRHIT certification3M encoderEpic EHRAuditing experienceExceptional communication skills