Revenue Cycle Auditor Jobs (NOW HIRING)

As our Revenue Cycle Auditor-Educator CDI you will bring expert knowledge of current ICD (diagnostic and procedural) and CPT-4 coding classification systems to this advanced-level role. You will be front-and-center in ensuring the utmost accuracy and compliance in all healthcare coding and billing practices, directly impacting our organization's financial health and regulatory standing.

Every day you will take the lead in answering complex coding and billing questions, facilitate the onboarding and training of new staff, and perform critical coding/DRG validation audits. You will design, develop, and deploy comprehensive coding and CDI education programs across our system, working collaboratively with leadership to plan and deliver impactful training. Your responsibilities will also include conducting internal audits, providing follow-up education, promoting standardization of coding/CDI practices, and communicating vital regulatory changes for timely implementation.

To be successful in this role, you will need a deep understanding of ICD-10, CPT-4, and healthcare reimbursement methodologies. We are seeking a highly experienced professional with a proven track record in coding auditing, education, and compliance. Your exceptional ability to act as a crucial liaison between CDI, physicians, clinical quality, and patient financial services will be essential in fostering collaborative relationships that ensure the integrity and accuracy of the inpatient medical record.

• Completes initial medical records reviews within 24-48 hours of admission for a specified patient population to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality and severity of illness.
• Conducts follow-up reviews every 2-3 days to support working DRG assignment.
• Formulates compliant provider queries regarding missing, unclear or conflicting documentation, as necessary.
• Follows up daily on open queries with providers to ensure timely responses. Reviews final coding DRG assignment follows DRG reconciliation process.
• Keep abreast of Official Coding and Reporting Guidelines, AHA Coding Clinics, CMS and other agency directives and maintains up to date knowledge of coding and CDI current trends.
• Strong oral communication skills and the ability to deliver presentations to large groups

Required

• Associates Other Associates degree in Nursing and or HIM related fields or 4-6 years Five (5) years coding auditing experience including but not limited to hospital inpatient and outpatient encounters
• Six (6) years of experience in coding quality audit work or record review including but not limited to hospital inpatient and outpatient.
• Certified Coding Specialist
• Certified Professional Coder
• Registered Health Information Administrator
• Registered Health Information Technician
• Clinical Documentation Improvement Professional

Preferred

• Associates Other in relevant field or combination of equivalent of education and experience.

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Required

• Associates Other Associates degree in Nursing and or HIM related fields or 4-6 years Five (5) years coding auditing experience including but not limited to hospital inpatient and outpatient encounters
• Six (6) years of experience in coding quality audit work or record review including but not limited to hospital inpatient and outpatient.
• Certified Coding Specialist
• Certified Professional Coder
• Registered Health Information Administrator
• Registered Health Information Technician
• Clinical Documentation Improvement Professional

Preferred

• Associates Other in relevant field or combination of equivalent of education and experience.