Auditing and Coding Analyst – Inpatient

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Perform retrospective and concurrent audits of inpatient behavioral health records to assess the accuracy of documentation, medical necessity, coding, billing, and compliance with regulations.

• Evaluate clinical documentation and ICD-10/CPT coding to ensure precise reporting, suitable reimbursement, and adherence to payer and regulatory standards.

• Detect documentation trends, compliance risks, and areas for improvement through audits, reporting, and data analysis.

• Collaborate with clinical leadership, providers, finance, quality, and other internal teams to enhance documentation practices and mitigate compliance risks.

• Offer education, training, and constructive audit feedback to clinical and administrative personnel regarding documentation, coding, and compliance expectations.

• Assist with regulatory preparedness, external audits, corrective action planning, and ongoing quality improvement initiatives.

• Create and sustain audit tools, educational materials, workflows, and monitoring processes that encourage consistency and accountability.

⛳️ Requirements

• High School diploma or GED is mandatory.

• A minimum of 2 years of experience in Behavioral Health is required.

• Knowledge of medical necessity and level-of-care criteria is essential.

• Experience with ICD and DSM V is required.

• At least one (1) year of experience with medical terminology is preferred.

• Familiarity with inpatient psychiatric regulations and accreditation standards is desirable.

• Experience working collaboratively with diverse groups in a healthcare setting is necessary.

• Knowledge of government healthcare reimbursement systems is required.

• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook, is essential.

• Certification as a Professional Coder (CPC), Certified Coding Specialist Professional (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified in Healthcare Compliance (CHC) is preferred.

• Understanding of anatomy and physiology is required.

• Ability to interact effectively with providers is essential.

• Capability to analyze extensive data sets to identify trends is necessary.

• Strong attention to detail and precision is required.

• Effective communication and skills in building collaborative relationships are crucial.

🏝️ Benefits

• Comprehensive health benefits.

• Opportunities for professional development and training.

• Supportive and inclusive work environment.