Details

　　Department: Compliance Corporate

　　Schedule: Full Time, 8 hour day shift, Monday-Friday

　　Location: Remote

　　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

　　*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.

　　Responsibilities

　　Position Summary

　　In this role, you will apply your expert knowledge of the MS-DRG, APR-DRG, and APC coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines, the National Correct Coding Initiative, and AMA’s CPT Assistant and CPT manual in the auditing of inpatient and outpatient claims.

　　The candidate should have a keen eye for detail, demonstrable critical thinking skills along with experience in writing policies and job aides, as well as possess the ability to prioritize, plan, and complete work independently.

　　Reports to the Compliance Director - Acute Care Regulatory, and works collaboratively with other Ascension Compliance leaders and team members, as needed.

　　Essential Job Functions

　　Employ industry encoder tools to perform coding/documentation reviews and audits to assess compliance and accuracy with ICD-10 diagnosis and procedure codes, DRG assignments, POA indicators, discharge statuses and CPT/HCPCS codes, modifiers, and APC assignments billed by hospitals to identify overpayments

　　Perform Medicare coverage audit and/or review services based on LCDs, LCAs and NCDs for a variety of inpatient and outpatient hospital services

　　Research guidelines/regulation to support audit findings such as Medicare transmittals/Manuals, LCDs, NCDs, eCFR, and CMS/OIG guidelines pertinent to assessments

　　Utilizing excellent communications skills, compose rationales supporting audit findings

　　Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans

　　Collaborate with Revenue Cycle and other stakeholders to support charging/billing/coding activities

　　Serve as coding compliance subject matter expert and develop education and training for Service Line Leaders and Compliance team members

　　Work with other members of the Acute Care Regulatory team on projects such as compliance risk assessment and analysis, development of tools to assist in the audit process, and development of education for staff.

　　Adhere to AHIMA ethical coding standards, and remain abreast of changes to coding standards/regulations

　　Participate in variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems

　　Maintain a level of knowledge pertaining to governmental or coding industry new developments, requirements, and policies

　　Work in a high-volume production environment that is matrix driven

　　#LI-Remote

　　Requirements

　　Education:

　　High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required. 2 years of leadership or management experience preferred.Additional Preferences

　　AHIMA medical coding certification preferred

　　5+ years coding auditing and medical coding experience preferred

　　Thorough knowledge of Medicare reimbursement guidelines and medical terminology preferred

　　Strong analytical, organizational, computer, and excel skills

　　Highly self-motivated with ability to work independently and with a team, prioritize, and handle multiple responsibilities to meet deadlines

　　Ability to identify opportunities for process improvement and implement solutions

　　Excellent presentation, verbal, and written communication skills

　　Attention to detail and ability to maintain a high degree of confidentiality

　　Knowledge/understanding of healthcare compliance industry and federal laws/regulations

　　Demonstrated coaching and influencing skills

　　Why Join Our Team

　　Ascension 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 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) (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.

　　E-Verify Statement

　　This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

　　E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf)