Senior Audit and Billing Compliance Specialist – Inpatient

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

📋 Description

• The Senior Inpatient Audit & Billing Compliance Specialist will collaborate with the Inpatient Coding Team, providing training, auditing, and reviewing processes related to Inpatient Coding functions.

• Services may be part of a regular audit schedule or conducted as ad hoc audits, depending on the presence of an inpatient coder in training.

• This role will serve as the inpatient coding educator, responsible for tracking all new coding regulations and preparing quarterly in-services for inpatient coders.

• Candidates must possess extensive knowledge of DRG and hold relevant training qualifications.

• The position involves training inpatient coding trainees.

• Daily monitoring and reviewing of inpatient coding trainees will be required.

• Utilize the reviews to create training material.

• Establish quarterly audit schedules for all inpatient coders.

• Prepare quarterly in-service sessions focused on areas of weakness identified during the audit process for the inpatient team.

• Additional duties may be assigned as needed.

⛳️ Requirements

• A Bachelor’s degree along with 5 years of experience in coding/auditing functions or nursing, or a High School diploma with 9 years of experience in professional coding/auditing functions or nursing.

• Current RN, CCS, CCS-P, or CPC certification is required, along with a solid understanding of the revenue cycle.

• Strong critical thinking skills are essential for this position.

• Independent decision-making abilities are necessary.

• The role requires the ability to assess whether processes are being executed correctly and to discuss findings with leaders.

• A preference for candidates with at least 10-15 years of experience in DRG Coding and comprehensive knowledge of AHA Coding Clinics.

• Ideally, applicants should have five successful years of experience working with Senior Leadership, including preparing and presenting reports.

• CPMA or CEMC certification is preferred.

🏝️ Benefits

• Health: Medical, Dental, and Vision plans available for eligible staff and their families.

• Holiday, Vacation, and Sick Leave benefits.

• Education discounts for staff and dependents (undergraduate only).

• Retirement: Up to a 10% matched contribution from UAMS.

• Basic Life Insurance coverage up to $50,000.

• Opportunities for Career Training and Educational advancement.

• Merchant Discounts available.

• Concierge prescription delivery on the main campus when using UAMS pharmacy.