Coding Auditor - Inpatient

SSM Health
Remote

About The Position

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Qualifications: Ideal candidate has experience with inpatient coding and auditing. RHIT, RHIA, and CCS are preferred certifications. Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Performs periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation.

Requirements

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

Nice To Haves

  • Ideal candidate has experience with inpatient coding and auditing.
  • RHIT, RHIA, and CCS are preferred certifications.

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.

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.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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