Coding Inpatient Auditor

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

• Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently.

• Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weaknesses identified during the coding validation reviews.

• Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist, and effectively communicates with physicians and allied health personnel.

• Assists with writing compelling appeals to all DRG denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization’s reimbursement.

• Serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management.

• Expansive knowledge of Medicare DRGs, APR-DRG, coding guidelines and guidance materials, and reimbursement systems. [Required]
• Excellent interpersonal, verbal, and written communication skills; proficient in and demonstrate excellent physician relations. [Required]
• Computer skills, including Microsoft Office and Encoder software. [Required]
• Self-motivated and able to work independently in a remote setting. [Required]
• Critical thinking and problem-solving skills [Required]

• High School Grad or Equiv [Required]
• Technical/Vocational School [Preferred]

• in a related field of study or equivalent technical experience

• 5+ years of inpatient of outpatient coding or auditing experience [Required]

• N/A

• Registered Health Information Administrator (RHIA) [Required] OR
• Registered Health Information Technician (RHIT) [Required] OR
• Certified Coding Specialist (CCS) [Required] OR
• Certified Professional Coder (CPC) [Required]

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.