Coding Auditor

Job Opportunity

It's more than a career, it's a calling MO-REMOTE

Worker Type: Regular

Job Summary: Performs periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Audits specified number of records per coder as defined in the system coding audit plan.
• Prepares audit reports that are issued to key stakeholders, as appropriate.
• Develops corrective action plans to address opportunities for coding, billing and documentation improvement.
• Identifies trends and educational opportunities. Prepares and presents educational programs related to coding.
• Assists in the management of the coding and billing auditing and monitoring program to address high risk compliance areas.
• Performs other duties as assigned.

EDUCATION

• Bachelor's degree in business, healthcare or related field, or equivalent years of experience and education

EXPERIENCE

• Three years' experience

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin

• Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA)
• Or
• Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA)
• Or
• Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)
• Or
• Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC)
• Or
• Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA)
• Or
• Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA)

Work Shift: Day Shift (United States of America)

Job Type: Employee

Department: 8702010033 HB Coding Quality Team Scheduled Weekly Hours: 40

Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.