Sr. Auditor, Coding Compliance

Position Highlights:

• Position: Sr. Auditor - Coding Compliance
• Location: Hybrid - Evanston, IL / work from home
• Full Time/Part Time: Full Time
• Hours: Monday-Friday during normal business hours

What you will need:

• Education: Bachelor's degree in Health Information Management, Healthcare Administration, or relate field required or an Associate's Degree with equivalent years of work experience.
• Certification: RHIA, RHIT, or CCS required.
• Experience: 3 years of related experience preferred in outpatient Coding Compliance, Medicare reimbursement, chart review
• Skills:
  • Strong project management skills
  • Expertise in Excel and Word
  • Expertise with medical terminology, coding systems, and Medicare payment systems
  • Experience with Epic EHR and 3M Coding Systems is a plus.

What you will do:

• Audit inpatient or outpatient facility and physician claims using ICD-10-CM and CPT/HCPCS coding guidelines
• Audit processes using Medicare guidelines related to required documentation elements and to ensure the accuracy of claims released
• Research the necessary governmental regulations (including but not limited to Medicare transmittals, Manuals, LCD, NCD) and coding guidelines (including but not limited to CPT Assistant, NCCI, Coding Clinic) pertinent to audits and department requests
• Meet with administrative staff to develop an understanding of billing processes, communicate audit results, and recommend corrective action plans

NorthShore University HealthSystem (NorthShore) is an integrated healthcare delivery system consistently ranked as a Top 15 Teaching Hospital in the U.S. The NorthShore system, headquartered in Evanston, Ill., includes six award-winning hospitals - Evanston, Glenbrook, Highland Park, Northwest Community  Skokie, and Swedish. NorthShore comprises three exemplary physician networks, totaling more than 4,250 doctors across immediate, primary, specialty and complex care; and 170 office locations and 35 immediate care centers. NorthShore has an established reputation with more than 17,000 team members system-wide.

NorthShore is committed to excellence in its academic mission and supports teaching and research as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine.

NorthShore was the first health system in Illinois to receive Magnet designation-the highest, most prestigious honor that demonstrates excellence in nursing and high standards in patient care. The system earned Magnet re-designation in 2019. When you work for NorthShore, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

At NorthShore University HealthSystem, diversity, equity and inclusion are at the core of our mission to support our team members and patients - irrespective of race, ethnicity, age, gender, sexual orientation or socioeconomic status. We believe that by recognizing and embracing our differences we create an organization that welcomes all to contribute and grow.

We invite all candidates to our team, as we continue to build on the incredible value our diverse talent brings to our organization, our community and our patients.
 

Please explore our website (www.northshore.org) to better understand how NorthShore delivers on its mission "to preserve and improve human life" through superior clinical care, academic excellence and innovative research.

NorthShore is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor. 

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