Mercy
Job Overview
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.
The auditor will work closely with a multidisciplinary team within each community to provide support and facilitate compliant processes, analyze and present complex revenue information to support operational and strategic decision‑making.
The auditor 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 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.
Job Responsibilities
Review and analyze documentation in medical records for inpatient, outpatient, and professional services.
Perform revenue audit functions as assigned, supporting appropriate reimbursement and compliance with government billing regulations.
Work closely with multidisciplinary teams in each community to facilitate compliant processes.
Analyze and present complex revenue information to support operational and strategic decision‑making.
Provide compliance support to the organization’s revenue cycle, including oversight and analysis of quarterly RVU reports.
Assist with physician incentive requirements and prepare annual audit schedules.
Prepare reports of findings and meet with providers and/or coders to provide education and training on accurate coding practices and documentation.
Conduct duties and responsibilities in a manner consistent with Mercy’s mission, values, and Service Standards.
Minimum Qualifications
Education: High School Diploma or equivalent.
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.
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 the list: RHIA, RHIT, Plus CCS, CCA, and/or CPC.
Knowledge, Skills, and Abilities
Proficiency with ICD‑10‑CM coding.
Proficiency with DRGs and/or APCs, CPT/HCPCS coding.
Exceptional written and verbal communication skills.
Working knowledge of 3M encoder and 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 a matched retirement plan—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.
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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.
The auditor will work closely with a multidisciplinary team within each community to provide support and facilitate compliant processes, analyze and present complex revenue information to support operational and strategic decision‑making.
The auditor 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 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.
Job Responsibilities
Review and analyze documentation in medical records for inpatient, outpatient, and professional services.
Perform revenue audit functions as assigned, supporting appropriate reimbursement and compliance with government billing regulations.
Work closely with multidisciplinary teams in each community to facilitate compliant processes.
Analyze and present complex revenue information to support operational and strategic decision‑making.
Provide compliance support to the organization’s revenue cycle, including oversight and analysis of quarterly RVU reports.
Assist with physician incentive requirements and prepare annual audit schedules.
Prepare reports of findings and meet with providers and/or coders to provide education and training on accurate coding practices and documentation.
Conduct duties and responsibilities in a manner consistent with Mercy’s mission, values, and Service Standards.
Minimum Qualifications
Education: High School Diploma or equivalent.
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.
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 the list: RHIA, RHIT, Plus CCS, CCA, and/or CPC.
Knowledge, Skills, and Abilities
Proficiency with ICD‑10‑CM coding.
Proficiency with DRGs and/or APCs, CPT/HCPCS coding.
Exceptional written and verbal communication skills.
Working knowledge of 3M encoder and 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 a matched retirement plan—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.
#J-18808-Ljbffr