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Mercy · 2 weeks ago

Auditor Coding Education & Training (Full Time) Days

Chesterfield, MO

Full-time

Onsite

Senior Level

5+ years exp

Mercy is a healthcare organization seeking an Auditor for Coding Education & Training. The auditor will review medical records for compliance and reimbursement accuracy, work with multidisciplinary teams, and provide education on coding practices.

AssociationChild CareFertilityHealth CareRehabilitation

Responsibilities

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

Performing revenue audit functions as assigned

Support the 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

Analyzing and presenting complex revenue information to support operational and strategic decision-making

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

Assisting with physician incentive requirements

Preparation and completion of annual audit schedules and various other coding analysis

Preparing reports of findings and meeting with providers and/or coders to provide education and training on accurate coding practices and documentation

Qualification

ICD-10-CM codingDRGsAPCs codingCPT/HCPCS codingRHIA certificationRHIT certification3M encoderEpic EHRAuditing experienceWritten communicationVerbal communication