• Lead medical record audits • Monitor and analyze clinical documentation • Modify business processes to measure member outcomes • Assess provider performance and quality of care through clinical case reviews • Lead clinical audits for provider medical records • Determine trends and compile written reports summarizing findings • Perform ongoing quantitative and statistical analysis of the business unit’s performance data • Coordinate with internal teams to assure audit requests are fully understood

• Conduct pre-award and post-award procurement file audits to evaluate compliance with CACI’s policies & procedures and federal regulations • Evaluate file documentation for key purchasing system elements • Assess compliance with regulatory areas impacting procurements • Produce clear, defensible, CPSR-ready audit comments and findings • Identify audit trends and systemic risks and recommend improvements • Partner with stakeholders to implement corrective actions • Provide practical guidance and coaching to procurement team • Support updates to policies, templates, checklists, and training materials based on audit outcomes • Lead or support projects as well as internal and external audits

Your future role at a glance Location: Remote Department: Compliance Schedule: Full time, Days Salary range: $29.74- 40.23 per hour #LI-Remote Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive - Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options - Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance - Time to recharge: pro-rated paid time off (PTO) and holidays - Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning - Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources - Family support: parental leave, adoption assistance and family benefits - Other benefits: optional legal and pet insurance, transportation savings and more Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process. How you’ll make an impact in this role - Audit Records: Perform coder audits based on the established system plan. - Report Results: Distribute audit findings to the appropriate stakeholders. - Improvement Plans: Create corrective actions for coding, billing, and documentation issues. - Trend Analysis: Identify patterns to find specific educational needs. - Education & Support: Present training programs and help manage high-risk compliance monitoring. What minimum requirements you’ll need Licensure / Certification / Registration: - Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed. - Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) preferred. Licensure required relevant to state in which work is performed. - Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed. - Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed. Education: - High school diploma/GED with 2 years of experience, or Associate's degree, or Technical degree required. Work Experience: - 1 year of experience required. What additional preferences we're seeking - 5 or more years of experience in coding and 2 or more years experience in auditing healthcare - CPC or CPS or CPMA certification Equal employment opportunity employer Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. E-Verify statement Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Role Description This REMOTE position will help to support billing edit resolution activities for the Laboratory, Pathology, and Blood Bank service lines. - Responsible for charge capture analysis, workflow, and maintenance of related work queues in assigned service lines. - Works designated work queues to resolve claim edits prior to billing by analyzing medical record documentation and application of payer guidelines. - Evaluates and provides guidance related to billing and/or clearinghouse system edits. - May complete focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in accordance with established policies and timeframes. - Advises service line leaders and their staff on proper usage of charge codes. - Identifies opportunities for capturing additional revenue in accordance with payer guidelines. - Develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections. Qualifications - H.S. Diploma or General Education Degree (GED) Required - Associate’s Degree in HIM/HIT Preferred - Bachelor’s Degree in HIM/HIT Preferred - 3 years of related healthcare experience focused in one or more of the following areas: - charge integrity Required - charge capture/reconciliation Required - healthcare compliance Required - charge auditing Required - CDM management Required - coding and/or hospital billing procedures Required - Experience working with Epic Required - Licenses and Certifications: - AHIMA certification (e.g. RHIA, CCS, RHIT) Upon Hire Required - RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure RN licensure Upon Hire Required - certified healthcare provider (e.g. MT, RT) Upon Hire Required Business Unit Piedmont Healthcare Corporate