Clinical Support & Patient Administration·Posted on Nov 13·
Full-time$25.10 /hr
About the Job
Requirements
A high school diploma or GED is required.
Two years of behavioral health experience are required.
Understanding of medical necessity and level-of-care criteria is required.
Experience with ICD and DSM-5 is required.
Experience collaborating with diverse groups in a healthcare environment is required.
Familiarity with government healthcare reimbursement systems is required.
Proficiency in Microsoft Office applications, including Word, Excel, and Outlook, is required.
Knowledge of anatomy and physiology is required.
Ability to interact effectively with providers is required.
Ability to analyze large amounts of data to identify trends is required.
Responsibilities
Conduct retrospective and concurrent audits of inpatient behavioral health records to evaluate documentation accuracy, medical necessity, coding, billing, and regulatory compliance.
Review clinical documentation and ICD-10/CPT coding to support accurate reporting, appropriate reimbursement, and adherence to payer and regulatory requirements.
Identify documentation trends, compliance risks, and opportunities for improvement through audits, reporting, and data analysis.
Partner with clinical leadership, providers, finance, quality, and other internal teams to strengthen documentation practices and reduce compliance risks.
Provide education, training, and constructive audit feedback to clinical and administrative staff on documentation, coding, and compliance expectations.
Support regulatory readiness, external audits, corrective action planning, and ongoing quality improvement initiatives.
Develop and maintain audit tools, educational resources, workflows, and monitoring processes that promote consistency and accountability.
Desired Qualifications
At least one year of medical terminology experience is preferred.
Knowledge of inpatient psychiatric regulations and accreditation standards is preferred.
A Certified 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) credential is preferred.
Help strengthen the quality, accuracy, and integrity of behavioral healthcare through your expertise in auditing, coding, and compliance!
The Auditing and Coding Analyst – Inpatient plays an important role in supporting accurate clinical documentation, appropriate coding, and regulatory compliance across inpatient behavioral health services. Through medical record audits, data analysis, and collaboration with clinical and administrative teams, this position helps identify opportunities for improvement, strengthen documentation practices, and support organizational quality and reimbursement goals. The Analyst also serves as a resource and educator, helping teams navigate documentation and coding requirements while promoting consistent, high-quality care.
This is a great opportunity for someone who enjoys bringing together analytical skills, healthcare knowledge, and collaboration to make a meaningful impact behind the scenes. You'll help strengthen compliance, support clinical teams, and contribute to the quality and sustainability of behavioral health services in the communities we serve.
Conduct retrospective and concurrent audits of inpatient behavioral health records to evaluate documentation accuracy, medical necessity, coding, billing, and regulatory compliance.
Review clinical documentation and ICD-10/CPT coding to support accurate reporting, appropriate reimbursement, and adherence to payer and regulatory requirements.
Identify documentation trends, compliance risks, and opportunities for improvement through audits, reporting, and data analysis.
Partner with clinical leadership, providers, finance, quality, and other internal teams to strengthen documentation practices and reduce compliance risks.
Provide education, training, and constructive audit feedback to clinical and administrative staff on documentation, coding, and compliance expectations.
Support regulatory readiness, external audits, corrective action planning, and ongoing quality improvement initiatives.
Develop and maintain audit tools, educational resources, workflows, and monitoring processes that promote consistency and accountability.
High School/GED required
2 years of Behavioral Health experience required
Understanding of medical necessity and level-of-care criteria required
Experience in ICD and DSM V required
At least one (1) year of medical terminology preferred
Knowledge of inpatient psychiatric regulations and accreditation standards preferred
Must have experience working collaboratively with diverse groups in a healthcare environment
Must be familiar with government healthcare reimbursement systems
Must be proficient in Microsoft Office applications, including Word, Excel, and Outlook, as required for the role
Licensure/Certification: Certified 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) preferred
Additional Requirements:
Must have knowledge of anatomy and physiology
Must be successful in interacting effectively with providers
Must have the ability to analyze large amounts of data to identify trends
You’ll be a great fit for this role if you:
Enjoy analyzing information, identifying patterns, and turning findings into meaningful improvements.
Have a strong attention to detail and take pride in accuracy and accountability.
Communicate effectively and enjoy building collaborative relationships with providers and multidisciplinary teams.
Are comfortable navigating healthcare documentation, coding, reimbursement, and regulatory requirements.
Approach education and feedback with a supportive, solutions-focused mindset.
Are passionate about helping healthcare teams deliver quality services while supporting the integrity and sustainability of the organization.