Find your calling at Mercy!

Position Details:

Minimum Required Qualifications

Education:
Bachelor’s Degree in a related field (nursing, HIM, healthcare administration, etc.) plus 6 years relevant auditing experience OR 10 years relevant auditing experience.

Licensure:
 
Experience:
6 years relevant auditing experience

Certification/Registration:
Must have one or more of the following CURRENT certifications: 
•    Certified Coding Specialist (CCS), 
•    Certified Coding Specialist – Physician (CCS-P), 
•    Certified Inpatient Coder (CIC), 
•    Certified Outpatient Coder (COC), 
•    Certified Professional Coder (CPC), 
•    Certified Risk Coder (CRC), 
•    Certified in Healthcare Compliance (CHC), 
•    Certified Documentation Improvement Practitioner (CDIP), 
•    Certified Professional Medical Auditor (CPMA), 
•    Registered Health Information Administrator (RHIA), 
•    Registered Health Information Technician (RHIT). 

Other Skills and Knowledge:
•    Advanced understanding and ability to interpret medical records, UB and/or 1500 claim forms, remittance advice, and/or the charge description master (CDM). 
•    Experienced working knowledge of Microsoft Word, Excel, Power Point and Outlook. 
•    Extensive knowledge of the False Claims Act. 
•    Working knowledge of EMTALA.
•    In-depth knowledge in one or more of the following payment methodologies: IPF, IRF, CAH, RHC, Home Health/Hospice, Infusion/Injection coding, IPPS, OPPS, MPFS, interventional radiology coding and/or Risk Adjustment. 
•    Advanced knowledge and experience with rules and regulations pertaining to federally funded programs (e.g. Medicare and Medicaid) along with knowledge of documentation requirements for coding and billing.
•    Strong ability to engage/interact with leadership, writing and analysis skills, and autonomous/self-starter. 
 

Preferred Qualifications
Education:
Masters or advanced degree in a related field (nursing, HIM, healthcare administration, etc.)

Licensure:

Experience:
Experience in audit education and public speaking is strongly preferred.

Certification/Registration:

Other Skills and Knowledge:
 

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans 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.