Description
Find your calling at Mercy! The Senior Auditing Specialist is responsible for the timely and effective auditing of medical record documentation to identify inaccurate coding or abstracting services; prepares reports of findings and meets with providers and/or coders to communicate education and training recommendation(s) on accurate coding practices. Provides second-level review of coding on identified DRGs, APCs, and data analytics. Focused audits for inpatient, outpatient and/or professional services to analyze diagnoses and procedure codes as requested. Key responsibilities will additionally include participating in process improvement initiatives and keeping abreast of regulatory and federal coding guidelines. Will collaborate with a variety of departments such as Denials team, DRG Validation team and Clinical Documentation Improvement team. Performs duties and responsibilities in a manner consistent with our Mission, Values, and Mercy Service Standards. Position Details:
Minimum Required
Education: High School Diploma
Licensure:
Experience: At least 5 years coding related experience with diagnosis and procedure coding. Proficiency with ICD-10-CM coding is required. Proficiency with DRGs and/or APCs, CPT/HCPCS coding.
Certification/Registration: RHIA, RHIT, CCS, CCS-P, CPC, CPC-P, COC, CPMA, CIC, CRC, CIRCC
Other Skills and Knowledge:
Exceptional written and verbal communication skills.
Preferred Qualifications
Education: A.S from an accredited Health Information Technology program or B.S. from an accredited Health Information Management Program.
Licensure:
Experience: Minimum 3 years inpatient and/or outpatient auditing experience.
Certification/Registration: RHIA, RHIT Plus CCS and/or CPC
Other Skills and Knowledge:
Previous coding training experience.
Working knowledge of 3M encoder.
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
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