Virtual Coding Auditor Inpatient

Our promise to you:

Joining Advent Health 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. Advent Health 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.

All the benefits and perks you need for you and your family:

* Benefits from Day One:
Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

* Paid Time Off from Day One

* 403-B Retirement Plan

* 4 Weeks 100% Paid Parental Leave

* Career Development

* Whole Person Well-being Resources

* Mental Health Resources and Support

* Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

601 E ROLLINS ST

City:

ORLANDO

State:

Florida

Postal Code:

32803

Job Description:

Schedule:

Full Time

Shift: Days

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.

Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance.

The expertise and experiences you'll need to succeed:

QUALIFICATION REQUIREMENTS:

High School Grad or Equiv (Required), Technical/Vocational School Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body

Pay Range:

$26.29 - $48.91

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