Mercy St. Louis
Compliance Auditor II
PayCompetitive
LocationChesterfield/Missouri
Employment typeFull-Time
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Job Description
- Req#: 955834
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Comprehensive health, vision, and dental coverage from day one
- Generous PTO and tuition reimbursement programs
- Employer-matched retirement funds
- Opportunity for career advancement and growth within the organization
- Supportive community focused on compassionate care and innovative practices
- Chance to make a positive impact on healthcare compliance and patient care
What to Expect (Job Responsibilities):
- Support the Compliance Program by partnering with Legal, Human Resources, and other business units
- Conduct audits to ensure compliance with federal and state regulations, Medicare/Medicaid, and internal policies
- Interpret medical records and analyze claim forms to ensure accurate coding and billing
- Maintain knowledge of the False Claims Act and various payment methodologies
- Provide guidance and education on compliance standards and documentation requirements
What is Required (Qualifications):
- Bachelor’s Degree in a related field (nursing, HIM, healthcare administration, etc.) plus 2 years relevant auditing experience OR 6 years relevant auditing experience
- Minimum of 2 years relevant auditing experience
- One or more current certifications: CCS, CCS-P, CIC, COC, CPC, CRC, CHC, CDIP, CPMA, RHIA, or RHIT
- Working knowledge of Microsoft Word, Excel, PowerPoint, and Outlook
- Comprehensive knowledge of federally funded program regulations, including Medicare and Medicaid
How to Stand Out (Preferred Qualifications):
- Master’s or advanced degree in a related field (nursing, HIM, healthcare administration, etc.)
- 4 years relevant auditing experience
- Experience in audit education and public speaking
#HealthcareCompliance #Auditing #CareerOpportunity #HealthBenefits #CompassionateCareAbout the company
Mercy, named one of the top five large U.S. health systems for four consecutive years by IBM Watson Health, serves millions annually. Mercy is one of the nation’s most highly integrated, multi-state health care systems, including more than 40 acute care, managed and specialty (heart, children’s, orthopedic and rehab) hospitals, convenient urgent care locations, imaging centers and pharmacies. Mercy has 900 physician practices and outpatient facilities, more than 4,000 Mercy Clinic physicians and advanced practitioners and 40,000-plus co-workers serving patients and families across Arkansas, Kansas, Missouri and Oklahoma. Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas. In addition, Mercy's IT division, Mercy Technology Services, and Mercy Virtual commercially serve providers and patients from coast to coast.