Evaluation and Management 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.

• Expert knowledge of ICD-10, CPT, HCPCS, and coding, along with modifiers for outpatient and inpatient procedures. [Required]
• Expertise in auditing using both the 1995 and 1997, and 2021 E/M CMS Guidelines [Required]
• Extensive knowledge of NCCI, MU, MUE edits and bundling guidelines. [Required]
• Demonstrates excellent written and verbal communication skills. [Required]
• Knowledgeable with Microsoft Office software. [Required]
• Ability to effectively operate equipment such as PC, web and/or teleconference. [Required]
• Ability to educate providers and staff on required documentation needs, coding updates and audit findings. [Required]
• Expert knowledge of Evaluation & Management (E&M) rules and surgical coding. [Preferred]
• Ability to explain required documentation needs to physicians, staff, and coding staff via EMR system. [Preferred]
• Experience presenting to large groups of peers or physicians/providers and leadership. [Preferred]

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

• Technical school certification in medical coding preferred
• Associate degree in Medical Billing/Coding preferred

• 3+ certified auditing [Required]
• 5+ physician-based coding for both e&m (outpatient/inpatient) and surgical procedures [Required]

• N/A

• Certified Professional Coder (CPC) [Required] OR
• Certified Coding Specialist (CCS) [Required] OR
• Certified Coding Specialist – Physician-based (CCS-P) [Required] OR
• Certified Professional Medical Auditor (CPMA) [Required] OR
• Registered Health Information Administrator (RHIA) [Required] OR
• Registered Health Information Technician (RHIT) [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.