Job Description
Full job description
Overview:
We’re a Little Different
Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.
At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”
Overview:
The Senior Auditing Specialist is responsible for the timely and effective auditing of medical record documentation to identify inaccurate coding or abstracting services; prepares reports of findings and meets with providers and/or coders to communicate education and training recommendation(s) on accurate coding practices. Provides second-level review of coding on identified DRGs, APCs, and data analytics. Focused audits for inpatient, outpatient and/or professional services to analyze diagnoses and procedure codes as requested. Key responsibilities will additionally include participating in process improvement initiatives and keeping abreast of regulatory and federal coding guidelines. Will collaborate with a variety of departments such as Denials team, DRG Validation team and Clinical Documentation Improvement team. Performs duties and responsibilities in a manner consistent with our Mission, Values, and Mercy Service Standards.
Qualifications:
Minimum Required Education: High School Diploma
Licensure:Experience: At least 5 years coding related experience with diagnosis and procedure coding. Proficiency with ICD-10-CM coding is required. Proficiency with DRGs and/or APCs, CPT/HCPCS coding.
Certification/Registration: RHIA, RHIT, CCS, CCS-P, CPC, CPC-P, COC, CPMA, CIC, CRC, CIRCCOther Skills and Knowledge:Exceptional written and verbal communication skills.
Preferred Qualifications Education: A.S from an accredited Health Information Technology program or B.S. from an accredited Health Information Management Program.
Licensure: Experience: Minimum 3 years inpatient and/or outpatient auditing experience.
Certification/Registration: RHIA, RHIT Plus CCS and/or CPCOther Skills and Knowledge:Previous coding training experience.Working knowledge of 3M encoder.
We Offer Great Benefits:
Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!
We’re bringing to life a healing ministry through compassionate care.
At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.
What Makes You a Good Match for Mercy?
Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.
EEO/AA/Minorities/Females/Disabled/Veterans
Overview:
We’re a Little Different
Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.
At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”
Overview:
The Senior Auditing Specialist is responsible for the timely and effective auditing of medical record documentation to identify inaccurate coding or abstracting services; prepares reports of findings and meets with providers and/or coders to communicate education and training recommendation(s) on accurate coding practices. Provides second-level review of coding on identified DRGs, APCs, and data analytics. Focused audits for inpatient, outpatient and/or professional services to analyze diagnoses and procedure codes as requested. Key responsibilities will additionally include participating in process improvement initiatives and keeping abreast of regulatory and federal coding guidelines. Will collaborate with a variety of departments such as Denials team, DRG Validation team and Clinical Documentation Improvement team. Performs duties and responsibilities in a manner consistent with our Mission, Values, and Mercy Service Standards.
Qualifications:
Minimum Required Education: High School Diploma
Licensure:Experience: At least 5 years coding related experience with diagnosis and procedure coding. Proficiency with ICD-10-CM coding is required. Proficiency with DRGs and/or APCs, CPT/HCPCS coding.
Certification/Registration: RHIA, RHIT, CCS, CCS-P, CPC, CPC-P, COC, CPMA, CIC, CRC, CIRCCOther Skills and Knowledge:Exceptional written and verbal communication skills.
Preferred Qualifications Education: A.S from an accredited Health Information Technology program or B.S. from an accredited Health Information Management Program.
Licensure: Experience: Minimum 3 years inpatient and/or outpatient auditing experience.
Certification/Registration: RHIA, RHIT Plus CCS and/or CPCOther Skills and Knowledge:Previous coding training experience.Working knowledge of 3M encoder.
We Offer Great Benefits:
Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!
We’re bringing to life a healing ministry through compassionate care.
At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.
What Makes You a Good Match for Mercy?
Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.
EEO/AA/Minorities/Females/Disabled/Veterans
💡 Quick Summary
Seeking a career-building opportunity? The Senior Auditing Specialist (Non-Exempt) position is now open for candidates interested in the Accountant Jobs sector. This role in Springfield Gardens offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Accountant Jobs is a plus.
