Sr Coding Compliance Auditor
About The Position
CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance. As our Senior Coding Compliance Auditor at CHI St. Vincent, you will help clinicians and coding teams improve documentation, coding accuracy, compliance, and revenue capture so patient conditions are accurately reported. Every day, you will review patient charts, identify documentation and coding opportunities, assist with claim denials, and educate providers and staff. You will be expected to support Hierarchical Condition Category (HCC) and risk-adjustment initiatives while developing sustainable workflows. To be successful in this role, you must have five years of physician coding experience, an approved coding certification, and strong analytical and communication skills.
Requirements
- High school diploma or GED;
- Five years of physician coding experience;
- Certified Coding Specialist (CCS), Certified Coding Specialist–Physician-Based (CCS-P), or Certified Professional Coder (CPC) certification;
- Certified Risk Adjustment Coder (CRC) certification or ability to obtain certification within the first year of employment;
- Working knowledge of medical-record coding, documentation requirements, medical terminology, payer guidelines, and government regulations;
- Strong analytical and problem-solving skills;
Nice To Haves
- Associate degree;
- Certified Professional Medical Auditor (CPMA) or Certified Medical Audit Specialist (CMAS) certification;
Responsibilities
- Perform prospective and concurrent chart reviews to ensure documentation is complete and compliant;
- Review diagnosis codes against patient documentation to support accurate HCC reporting;
- Identify claim-correction opportunities, assist with claim denials, and report trends to leadership;
- Provide coding and documentation education to clinicians and staff through meetings, webinars, presentations, and training materials;
- Collaborate with Revenue Cycle, Coding, Quality, Clinical Informatics, payers, and practice leadership to improve processes and performance.
Benefits
- benefits that complement and support your work/life balance
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
