Inpatient Coding Auditor

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

• Benefits from Day One
• Paid Days Off from Day One
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

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.

Schedule: Full Time

Shift: Days - 8AM-4PM

The community you’ll be caring for:

• The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources.
• The Trickle Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel.
• The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment.

The role you’ll contribute:

The Inpatient Coding Auditor, under general supervision, is responsible for validating the coding that is performed by inpatient or outpatient coders. Random samples and/or target samples are reviewed, and the results are provided to management as well as feedback to the individual coder. Assists with education of all coders and Medical Staff members, while educating throughout the organization as needed. Maintains extensive knowledge of all coding standards and is able to effectively communicate to all appropriate individuals. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

• Demonstrates through behavior Florida Hospital’s Core Values of Integrity, Compassion, Balance,
• Excellence, Stewardship and Teamwork as outlined in the organization’s Performance Excellence
• Program.
• Performs quality reviews on coded records to validate ICD-9, ICD-10, ICD-10-PCS, MSDRG, APRDRGs, and overall coding accuracy retrospectively and concurrently at all Florida Hospital campuses including other Adventist Health Systems facilities as needed
• Provides continuing education to individual coders and to the coding staff concerning changes in the coding and reimbursement system as well as any area of weakness identified during the performance of coding validation reviews
• Prepares statistical reports conveying the individual and overall accuracy of coding
• Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist. Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate and timely clinical documentation
• 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 as well as protect the organizations 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, keeping reimbursement considerations in balance with regulatory compliance
• Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency
• Maintains the confidentiality of employees’, patients, administrative and medical staff information with no infractions
• Performs other duties as assigned