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Senior Audit and Billing Compliance Specialist – Inpatient
University of Arkansas SystemSenior Audit & Billing Compliance Specialist in the Inpatient Coding Team at UAMS. Responsibilities include training, auditing, and review processes for inpatient coding functions.
About the role
Key responsibilities & impact- The Senior Inpatient Audit & Billing Compliance Specialist will work on the Inpatient Coding Team while providing training, auditing, and review processes for Inpatient Coding functions.
- The services could be part of a regular audit schedule or could be ad hoc audits based on whether there is an inpatient coder in training.
- This position will be the inpatient coding educator and will track all new coding regulations and prepare in-services for inpatient coders at a minimum, quarterly.
- This position will need to possess highly qualified DRG knowledge and have training qualifications.
- Training any inpatient coding trainees.
- Monitor and review inpatient coding trainees daily.
- Utilize the reviews as training material.
- Set up quarterly audit schedules for all inpatient coders.
- Prepare in-service for inpatient coding quarterly for the inpatient group, focusing on areas of weakness identified during the audit process.
- Perform other duties as assigned.
Requirements
What you’ll need- Bachelor’s degree plus 5 years’ experience in coding/auditing functions or nursing OR a High School diploma plus 9 years’ experience in professional coding/auditing functions or nursing.
- Must have current RN, or CCS, CCS-P or CPC certification and an understanding of the revenue cycle.
- Critical thinking skills for this position are crucial.
- This position requires independent decision making skills.
- This position must determine if processes are being completed correctly and be able to discuss with leaders findings.
- Prefer at least 10-15 years of DRG Coding and thorough knowledge of AHA Coding Clinics
- Prefer five successful years working with Senior Leadership members, preparing and presenting reports.
- CPMA or CEMC certification.
Benefits
Comp & perks- Health: Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Retirement: Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
inpatient codingauditingDRG knowledgecoding regulationsrevenue cyclecritical thinkingindependent decision makingreport preparationAHA Coding Clinicsprofessional coding
Soft Skills
trainingmonitoringreviewingcommunicationleadershippresentation skillsorganizational skillsproblem-solvingcollaborationadaptability
Certifications
RNCCSCCS-PCPCCPMACEMC