Overview Ardent Health Services (AHS) is a national health care services company headquartered in Nashville, TN. Through its subsidiaries, Ardent owns and operates nearly 200 sites of care. Our subsidiaries own and operate hospitals and multispecialty physician practices in six states. Ardent includes 30 hospitals, 4,423 patient beds, 23,000 employees, and 1,700 employed physicians. Within the industry, we are noted for recognizing that every hospital is as unique as the community it serves. This in-depth understanding of how health care works at the local level is one of our great strengths. POSITION SUMMARY The Professional Documentation Improvement Auditor specializes in reviewing and analyzing medical records, claims and workflow processes to ensure accuracy, completeness, and compliance with regulatory requirements. The primary goal is to improve the quality of clinical documentation, which plays a crucial role in patient care, compliance, billing, coding, and reimbursement processes Responsibilities Using audit tools, authoritative references, CMS and CPT guidelines, bell curves, etc. to analyze for trends, audit providers and coders, and provide education/feedback individually or in a group setting. Adhering to policies, procedures and regulations to ensure compliance. The following are some, but not all inclusive, of the responsibilities of the auditing function: Audits provider services using auditing tools such as EncoderPro and MD Audit. Adheres to provider auditing schedules and audit production standards set by Physician Compliance and Audit Services Director or the Physician Audit Managers. Maintains provider scoring results. Provides standard documentation on education feedback to providers in a timely manner. Qualifications Education and Experience: CPC (Certified Professional Coder) or equivalent certification Auditing certification (e.g. CPMA-Certified Professional Medical Auditor) strongly preferred. Additional specialty specific certifications (e.g. CCC – Certified Cardiology Coder, COBGC – Certified OB/GYN Coder) strongly preferred Revenue Cycle experience, preferred. Minimum of 3 years auditing experience or 5 years of coding E&M levels of service (multi-specialty, including office visits, preventive services, surgical procedures and hospital inpatient and observation services. E&M /Procedure/Surgery Auditing/Critical Care/Specialty Specific/Skewed Productivity Curves Application and validation of ICD-10 diagnosis codes based on coding guidelines Knowledge, Skills & Abilities: Ability to provide standard documentation on education feedback to providers in a timely manner. Ability to perform a trend analysis of provider's bell curves and pull reports accordingly. Flexibility to audit specific service lines as needed. Flexibility to network with other team members as needed Ability to communicate effectively and professionally via email, phone, or Teams messages. #LI-AG1