Auditing and Coding Analyst – Inpatient

🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Compass Health Network

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1972

🏥 Healthcare

🤝 Non-profit

🧘 Wellness

Healthcare • Non-profit • Wellness

Compass Health Network is a nonprofit community health organization based in Missouri that provides integrated, whole-person healthcare including behavioral health, substance use disorder treatment, pediatric and family medicine, dental services, crisis intervention, and wellbeing/recovery support. It operates certified community mental health services, 24/7 behavioral health crisis lines and crisis centers, youth urgent care, outreach and case management, and offers sliding-fee and Medicaid enrollment assistance to serve diverse, underserved communities.

📋 Description

• Conduct retrospective and concurrent audits of inpatient behavioral health records to evaluate documentation accuracy, medical necessity, coding, billing, and regulatory compliance • Review clinical documentation and ICD-10/CPT coding to support accurate reporting, appropriate reimbursement, and adherence to payer and regulatory requirements • Identify documentation trends, compliance risks, and opportunities for improvement through audits, reporting, and data analysis • Partner with clinical leadership, providers, finance, quality, and other internal teams to strengthen documentation practices and reduce compliance risks • Provide education, training, and constructive audit feedback to clinical and administrative staff on documentation, coding, and compliance expectations • Support regulatory readiness, external audits, corrective action planning, and ongoing quality improvement initiatives • Develop and maintain audit tools, educational resources, workflows, and monitoring processes that promote consistency and accountability

🎯 Requirements

• High School/GED required • 2 years of Behavioral Health experience required • Understanding of medical necessity and level-of-care criteria required • Experience in ICD and DSM V required • At least one (1) year of medical terminology preferred • Knowledge of inpatient psychiatric regulations and accreditation standards preferred • Must have experience working collaboratively with diverse groups in a healthcare environment • Must be familiar with government healthcare reimbursement systems • Must be proficient in Microsoft Office applications, including Word, Excel, and Outlook • Certified Professional Coder (CPC), Certified Coding Specialist Professional (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified in Healthcare Compliance (CHC) preferred • Must have knowledge of anatomy and physiology • Must be successful in interacting effectively with providers • Must have the ability to analyze large amounts of data to identify trends • Strong attention to detail and accuracy • Effective communication and collaborative relationship-building skills • Familiarity with healthcare documentation, coding, reimbursement, and regulatory requirements

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