Coding Auditor – Inpatient

🕒 April 8

🌽 Illinois, Oklahoma, +2 more states – Remote

🌽 Illinois – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Debt Financing on 2019-11

Healthcare Insurance

SSM Health is a Catholic, not-for-profit health system serving communities across the Midwest. It is one of the largest Catholic health care systems in the United States, operating 23 hospitals and over 650 physician offices, along with other outpatient and virtual care services in Illinois, Missouri, Oklahoma, and Wisconsin. SSM Health is dedicated to providing high-quality care through a comprehensive, integrated health care delivery system. The organization values diversity, inclusion, and the professional growth of its 40,000 team members. SSM Health is committed to exceptional patient care, showcasing a rich heritage of service for over 150 years.

📋 Description

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

🎯 Requirements

• Ideal candidate has experience with inpatient coding and auditing. • RHIT, RHIA, and CCS are preferred certifications. • Bachelor's degree in business, healthcare or related field, or equivalent years of experience and education. • 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)

🏖️ Benefits

• 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. • Explore All Benefits