Role OverviewAs a Senior Coding Compliance Auditor at CHI St. Vincent, you will help clinicians and coding teams improve documentation, coding accuracy, compliance, and revenue capture. You will review patient charts, identify documentation and coding opportunities, assist with claim denials, and educate providers and staff.
What You Will Do
Perform prospective and concurrent chart reviews to ensure documentation is complete and compliant; Review diagnosis codes against patient documentation to support accurate HCC reporting; Identify claim-correction opportunities, assist with claim denials, and report trends to leadership.
Why It Might Be a Fit
To be successful in this role, you must have five years of physician coding experience, an approved coding certification, and strong analytical and communication skills.
Requirements
- High school diploma or GED
- Five years of physician coding experience
- Certified Coding Specialist (CCS), Certified Coding Specialist–Physician-Based (CCS-P), or Certified Professional Coder (CPC) certification
- Certified Risk Adjustment Coder (CRC) certification or ability to obtain certification within the first year of employment
- Working knowledge of medical-record coding, documentation requirements, medical terminology, payer guidelines, and government regulations
- Strong analytical and problem-solving skills
Benefits
- Benefits that complement and support your work/life balance
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