Find your calling at Mercy!
The auditor is responsible for reviewing and analyzing documentation present in the medical record for inpatient, outpatient and/or professional services to analyze diagnoses/procedure codes as described by the provider(s) of record. This position is responsible for performing revenue audit functions as assigned. The functions will be varied, and require a broad knowledge of the revenue cycle, as well as the compliance structure as defined by the Federal Sentencing Guidelines. These functions support the appropriate reimbursement and compliance with governmental billing regulations across the Mercy SSUs. This position will work closely with multidisciplinary team within each Community to provide support and facilitate compliant processes. Analyzing and presenting complex revenue information to support operational and strategic decision-making. The position provides compliance support to the organization's revenue cycle including oversight and analysis of quarterly RVU reports, assistance with physician incentive requirements, preparation and completion of annual audit schedules and various other coding analysis. As necessary the auditor prepares reports of findings and meets with providers and/or coders to provide education and training on accurate coding practices and documentation. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.
Position Details:
Minimum Qualifications
Education: High School Diploma or equivalent required.
Experience: At least 5 years coding related experience.
Certification/Registration: RHIA, RHIT, CCS, CCS-P, CCA, CPC, CPC-P, COC, CPMA, CIC, CRC, and/or CIRCC required.
Preferred Qualifications
Education: A.S from an accredited Health Information Technology program or B.S. from an accredited Health Information Management Program.
Experience:
• Minimum 3 years of auditing experience.
Certification: Any additional certification(s) from this list: RHIA, RHIT Plus CCS, CCA, and/or CPC.
Knowledge, Skills, and Abilities
• Proficiency with ICD-10-CM coding is required.
• Proficiency with DRGs and/or APCs, CPT/HCPCS coding.
• Exceptional written and verbal communication skills.
• Working knowledge of 3M encoder. Experience with Epic EHR.
Why Mercy?
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
