Coding Auditor, Managed Care - Healthcare Ascension : Job Details

Details Department: Managed Care Schedule: Days, Monday-Friday, 8:00am-5:00pm Hospital: Ascension Medical Group, Clinic Location: Indianapolis, IN Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. *Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: PRN, Short-Term Option, etc.). Connect with your Talent Advisor today for additional specifics. Responsibilities Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. Responsibilities: Audit specified number of records per coder as defined in the system coding audit plan. Prepare audit reports that are issued to key stakeholders, as appropriate. Develop corrective action plans to address opportunities for coding, billing and documentation improvement. Identify trends and educational opportunities. Prepare and present educational programs related to coding. Assist in the management of the coding and billing auditing and monitoring program to address high risk compliance areas. Requirements Licensure / Certification / Registration: Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) preferred. Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) preferred. Reg Health Info Tech credentialed from the American Health Information Management Association(AHIMA) preferred. Education: High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. Additional Preferences Certified Coding Specialist (CCS), Certified Professional Coder (CPC) preferred. 1-2 years coding experience in outpatient setting preferred. Why Join Our Team Ascension St. Vincent in Indiana has been providing rewarding careers in healthcare for over 148 years. With 24 hospitals throughout the greater Indianapolis and Evansville areas, Ascension St. Vincent offers careers in a wide range of services including acute and long-term care, bariatrics, cancer care, cardiovascular services, emergency services, neuroscience, orthopedics, pediatric services, primary and urgent care, women's health services and more. Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. Equal Employment Opportunity Employer Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. Pay Non-Discrimination Notice Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. E-VerifyLicensure / Certification / Registration: Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) preferred. Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) preferred. Reg Health Info Tech credentialed from the American Health Information Management Association(AHIMA) preferred. Education: High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. Responsibilities: Audit specified number of records per coder as defined in the system coding audit plan. Prepare audit reports that are issued to key stakeholders, as appropriate. Develop corrective action plans to address opportunities for coding, billing and documentation improvement. Identify trends and educational opportunities. Prepare and present educational programs related to coding. Assist in the management of the coding and billing auditing and monitoring program to address high risk compliance areas.