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About Mercy Health – A Healing Ministry in Action
At Mercy Health, we are more than a healthcare organization; we are a community of compassionate caregivers, innovators, and leaders dedicated to improving the health and well‑being of every person we serve. Recognized by Modern Healthcare Magazine as one of the “Top 100 Places to Work,” Mercy blends cutting‑edge medicine with a heart‑centered mission. Our purpose is simple yet profound: to bring to life a healing ministry through compassionate care and exceptional service. Whether you’re part of a bustling urban hospital or a remote, virtual team, you will feel the impact of your work every day.
Our culture celebrates diversity, encourages collaboration, and empowers each employee to grow personally and professionally. We invest heavily in technology, education, and continuous improvement because we know that a thriving workforce translates directly into better patient outcomes. As we expand our reach, especially through remote opportunities, we are seeking seasoned professionals who share our values of integrity, empathy, and excellence.
Why This Role Matters – The Strategic Impact of the Senior Medical Coding Auditor & Trainer
The healthcare revenue cycle is the lifeblood of any health system, ensuring that the compassionate services we provide are financially sustainable. As a Remote Senior Medical Coding Auditor & Trainer, you will be the guardian of coding accuracy, compliance, and education across Mercy’s network of facilities. Your expertise will directly influence reimbursement integrity, minimize compliance risk, and support physicians and coders in delivering transparent, high‑quality documentation.
This role sits at the intersection of clinical documentation, regulatory compliance, and education. You’ll partner with multidisciplinary teams, analyze complex data, and translate findings into actionable insights that drive strategic decision‑making. In short, you’ll be the catalyst that helps Mercy maintain its reputation for clinical excellence while safeguarding financial health.
Key Responsibilities – What You’ll Do Day‑to‑Day
- Comprehensive Coding Audits: Conduct detailed, risk‑based audits of inpatient, outpatient, and professional service records to verify the accuracy of ICD‑10‑CM, ICD‑10‑PCS, CPT, and HCPCS coding.
- Revenue‑Cycle Analysis: Review quarterly RVU reports, identify trends, and recommend corrective actions that optimize reimbursement and reduce denials.
- Compliance Oversight: Ensure all coding practices align with Federal Sentencing Guidelines, OIG regulations, and state-specific billing statutes.
- Education & Training: Design and deliver engaging virtual training modules for physicians, coders, and support staff on proper coding documentation, compliance updates, and audit findings.
- Report Generation & Presentation: Produce clear, data‑driven audit reports and present findings to leadership, physician groups, and compliance committees.
- Collaboration with Multidisciplinary Teams: Partner with clinical documentation improvement (CDI) specialists, finance analysts, and quality improvement teams to close documentation gaps.
- Policy Development: Contribute to the creation and revision of coding guidelines, internal policies, and standard operating procedures.
- Continuous Learning: Stay current with CMS updates, payer policy changes, and emerging coding technologies, sharing insights with the broader organization.
- Project Management: Lead special compliance projects such as OIG investigations, DOJ audit responses, and physician incentive program reviews.
Essential Qualifications – What You Must Bring
- Five (5)+ years of hands‑on coding experience in an acute‑care or professional services environment, with proven expertise in ICD‑10‑CM, ICD‑10‑PCS, CPT, and HCPCS coding.
< - Deep knowledge of revenue‑cycle processes including MS‑DRG, APC, and payer‑specific reimbursement rules.
- Compliance experience involving audits, edits, and the seven elements of a compliance program, preferably with exposure to OIG or DOJ investigations.
- Professional certifications such as RHIA, RHIT, CCS/CCS‑P, CPC/CPC‑P, CPMA, or CHC are required or strongly preferred.
- Strong analytical abilities to interpret complex coding data, identify trends, and develop actionable recommendations.
- Excellent written and verbal communication skills, with the ability to convey technical information to non‑technical audiences.
- High‑school diploma or equivalent is the minimum education requirement; a bachelor’s degree in health information management, nursing, or a related field is advantageous.
- Proficiency with coding audit software (e.g., 3M Encoder, Optum Encoder, or similar) and Microsoft Office Suite, especially Excel for data analysis.
Preferred Qualifications – Nice‑to‑Have Extras
- Master’s degree in Health Informatics, Healthcare Administration, or a related discipline.
- Experience with remote work environments, virtual training platforms (e.g., Zoom, Microsoft Teams, LMS), and e‑learning authoring tools.
- Participation in national coding or compliance societies (e.g., AHIMA, AAPC) and attendance at industry conferences.
- Demonstrated success in leading cross‑functional projects that improved coding accuracy and reduced claim denial rates.
- Familiarity with electronic health record (EHR) systems such as Epic, Cerner, or Meditech.
Core Skills & Competencies – The DNA of Success
- Critical Thinking & Problem Solving: Ability to dissect complex documentation and resolve ambiguous coding scenarios.
- Attention to Detail: Meticulous review of records to ensure absolute compliance with coding guidelines.
- Leadership & Influence: Inspire confidence in providers and coders through education, mentorship, and collaborative problem‑solving.
- Time Management: Prioritize multiple audit projects while meeting tight deadlines.
- Ethical Judgment: Uphold the highest standards of professional integrity and confidentiality.
- Adaptability: Thrive in a fast‑changing regulatory environment and adjust strategies as new policies emerge.
- Technology Savvy: Leverage data analytics tools, coding software, and virtual communication platforms effectively.
Career Growth & Learning – Your Future at Mercy
Mercy Health is committed to your long‑term success. As you master the responsibilities of this senior auditor role, you will have access to a robust career development framework that includes:
- Continuing Education Stipends: Tuition reimbursement and funding for certification renewal or advanced credential acquisition.
- Leadership Pathways: Opportunities to progress into senior compliance management, director‑level positions, or specialized analytics roles.
- Mentorship Programs: Pairing with seasoned leaders who can guide your professional journey and broaden your network.
- Cross‑Functional Rotations: Short‑term assignments in finance, quality improvement, or health‑information technology to broaden your skill set.
- Innovation Labs: Participation in pilot projects exploring AI‑driven coding tools, predictive analytics, and new reimbursement models.
Work Environment & Culture – What It’s Like to Be Part of Mercy
While this role is fully remote, you will never feel isolated. Our virtual collaboration ecosystem is built on transparency, regular touch‑points, and a shared commitment to excellence. Expect:
- Regular Team Huddles: Virtual meetings to align on priorities, share best practices, and celebrate wins.
- Inclusive Culture: A workplace that values diversity, equity, and inclusion, ensuring every voice is heard.
- Well‑Being Programs: Access to mental‑health resources, virtual wellness challenges, and flexible scheduling to support work‑life harmony.
- Technology Enablement: State‑of‑the‑art laptops, secure VPN access, and collaboration tools to keep you productive and connected.
- Community Engagement: Opportunities to volunteer in Mercy’s charitable initiatives, reinforcing our mission of compassionate service.
Compensation, Perks & Benefits – What We Offer
Mercy Health believes that great talent deserves great rewards. In addition to a competitive salary commensurate with experience, you will receive a comprehensive benefits package that includes:
- Medical, Dental & Vision Coverage: Robust plans starting on day one, with multiple options to suit your needs.
- Retirement Savings: 401(k) with employer matching to help you build a secure financial future.
- Paid Time Off (PTO): Generous vacation, sick leave, and holidays to ensure you can recharge.
- Tuition Reimbursement: Support for continuing education and advanced certifications.
- Professional Development: Funding for conferences, webinars, and industry memberships.
- Employee Assistance Program (EAP): Confidential counseling and support services for personal and professional challenges.
- Wellness Incentives: Programs that promote physical, mental, and emotional health, including fitness subsidies and mindfulness resources.
How to Apply – Take the Next Step
If you are a motivated, detail‑oriented professional with a passion for coding excellence and a heart for compassionate care, we want to hear from you. Join Mercy Health and become an integral part of a mission‑driven organization that values both your expertise and your humanity.
Ready to make a difference? Click the link below to submit your application, resume, and a brief cover letter outlining how your experience aligns with the responsibilities and qualifications described above.
Apply Now – Become a Mercy Health Coding Champion
Closing Thoughts – Your Future Starts Here
At Mercy Health, you will not only advance your career—you will help shape the future of healthcare delivery. Our commitment to excellence, transparency, and compassion means every day presents a new opportunity to learn, lead, and leave a lasting impact. Take this chance to join a community where your skills are celebrated, your growth is nurtured, and your contributions truly matter.
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