Coding Auditor

Ascension Healthcare; Kalamazoo (MI); Remote; USD 50,000 - 70,000; Full time

Job summary

Ascension Healthcare is seeking a Coding Specialist to join their Revenue Cycle team in Kalamazoo, MI. This remote position involves auditing claims, ensuring coding accuracy, and developing educational programs. Candidates should have relevant certifications and a strong background in coding practices.

Benefits

Paid time off (PTO)

Health insurance options

Retirement benefits with employer match

Tuition reimbursement

Qualifications

• CPC certification is required.
• Strong background in ICD-10 coding and HCC knowledge preferred.

Responsibilities

• Perform periodic audits of claims for accuracy.
• Prepare audit reports for stakeholders.
• Develop corrective action plans for coding improvements.

Skills

ICD-10 coding

HCC knowledge

Education

High School diploma equivalency

Job description

**Details**

+ Department: Revenue Cycle

+ Schedule: Remote, Monday - Friday day shifts with flexibility

+ Facility: Ascension Medical Group

+ Location: Kalamazoo, MI

**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

_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer._

**Responsibilities**

• Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation.
• 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.
• 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.
• Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) 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**

• CPC certification is required, CRC certification is preferred; strong background in ICD-10 coding and HCC knowledge is also preferred.

**Why Join Our Team**

Ascension Michigan operates 16 hospitals and more than 300 related healthcare facilities that together employ nearly 23,000 compassionate associates. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve throughout Michigan.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 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 provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf) poster.

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.

Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf)

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 Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**