Coding Auditor InpatientOrlando, FL

Coding Auditor Inpatient

At AdventHealth Orlando, what started as a converted farmhouse in rural Central Florida has become Central Florida's major tertiary health care facility. Patients come from the Southeast, the Caribbean and even as far as South America for our proven expertise and compassionate health care.

With a variety of Orlando hospital jobs, we invite you to start or elevate your career with a new job at AdventHealth Orlando. We constantly seek out Orlando nurses, medical assistants, nurse assistants, patient care and health administration professionals who share our passion for whole-person health care. Learn more about our open positions and apply to become an invaluable part of our team.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

The role you'll contribute:

Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples are reviewed, and the results are provided to management and feedback to the individual coder. Assist with educating all coders and Medical Staff members while demonstrating a willingness to educate throughout the organization as needed. Maintains extensive knowledge of all coding standards and effectively communicates with appropriate individuals. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.

The value you'll bring to the team:

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

May perform pre-bill morality and PSI/HAC reviews.

May perform Iodine Retrospective reviews in conjunction with the CDI team.

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

Qualifications

The expertise and experiences you'll need to succeed:

High School Grad or Equiv and two years of coding education (medical coding certificate program, diploma or 2-year HIM program), including medical terminology, anatomy and physiology, and pathophysiology coursework.

5 of inpatient hospital coding and/or auditing experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility.

RHIA - Registered Health Information Administrator, RHIT - Registered Health Information Technician, CCS-Certified Coding Specialist, Certified Pension Consultant (CPC) or CIC - Certified in Infection Control Certification

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