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Auditor-Coding Quality & Educ

Overview:

We re a Little Different

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

We don t believe in jobs 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.

At Mercy, you ll feel our supportive community every step of your day, especially the tough ones. We re a team and love working that way. That team is expanding, and we currently have exceptional opportunities to help our communities grow.

Responsibilities and Qualifications

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:

Because you re committed to excellence, you understand the importance of being properly prepared for your role at Mercy. That s why you ll bring to your role the right set of qualifications:

Education:High school diplomaExperience: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 actitivites, 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) (CPC-H), Certified Professional Medical Auditor (CPMA), Certified in Healthcare Compliance (CHC), or 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 ProgramPreferred Licensure:Preferred Experience:Preferred Certifications:Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS) (CCS-P), Certified Professional Coder(CPC) (CPC-P) (CPC-H), Certified Professional Medical Auditor (CPMA), Certified in Healthcare Compliance (CHC), or 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 ll Support You at Work and Home

Our foundations are built on dignity and respect. Modern Healthcare Magazine named us as a top 100 places to work. We go out of our way to help people feel welcomed. We offer day-one comprehensive health, vision and dental coverage, PTO, and employer-matched retirement funds, even to part-time employees. We re proud to provide tuition reimbursement to help you grow and learn new skills.

What Makes a Good Match for Mercy

Compassion and professionalism go hand-in-hand with us, along with exceptional quality care. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We re also collaborative and are not afraid to do a little extra to deliver excellent care that s just part of our commitment. If that sounds like a fit for you as well, we encourage you to apply.



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