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, location and salary range at the time of the offer.
We are seeking a highly motivated and detail-oriented Coding Auditor to join our team. The Coding Auditor will be responsible for conducting comprehensive audits of claims, preparing detailed reports, and collaborating with various departments to ensure accurate and compliant processing. This role requires strong analytical skills, a deep understanding of healthcare coding guidelines, and a commitment to maintaining regulatory compliance.
Participates in and contributes to new code reviews to ensure accuracy and compliance with updated guidelines.Assists with all special projects and plan parameter audits as required.Supports the management of the coding and billing auditing program, focusing on high-risk compliance areas.Generates and maintains required database reports related to audit findings.Actively participates in and assists with claim investigations.Requirements
Licensure / Certification / Registration:
Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed.Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) preferred. Licensure required relevant to state in which work is performed.Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed.Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed.Education:
High school diploma/GED with 2 years of experience, or Associate's degree, or Technical degree required.Work Experience:
1 year of experience required.Additional PreferencesAdditional preferences:
Active (CPC) coding certification a must have.1-2 years of Facets claim experience, preferred.
1-2 years of claims processing experience, with 3 years of experience in claims processing and/or claim auditing highly preferred.3 years of coding, auditing, and health plan experience.5+ years of experience with plan/insurance benefits, CPT/ICD-10, and UB92/HCFA guidelines.Possesses significant knowledge of claim processing and coding requirements across various bill types (e.g., Revenue, CPT, HCPCS, ICD-10).Strong background in claim adjudication, self-funded and insured health plans, billing and coding, and ERISA/compliance requirements.Exceptional knowledge of correct coding initiatives, including unlisted coding guidelines and USPSTF requirements.Commitment to continuous learning and professional development in the evolving healthcare coding landscape.Exceptional attention to detail and strong analytical and problem-solving skills.Strong written and verbal communication skills for preparing reports and collaborating with teams.Ability to work with minimal supervision and exercise decisive judgment in a fast-paced environment.In-depth knowledge of regulatory compliance, including ERISA and other relevant healthcare regulations.
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Why Join Our TeamAscension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.
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 EmployerAscension 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) poster or EEO Know Your Rights (Spanish) 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.
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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.
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