Quality Auditor & EducatorDaytona Beach, FL

Quality Auditor Educator

Our goal is simple: to offer our patients the absolute best care around them in the most compassionate, community-focused setting possible. And to us, that means extending the healing ministry of Christ, striving to promote wellness of body, mind and spirit.

AdventHealth Daytona Beach includes a 293-bed main hospital in Daytona Beach, as well as outpatient facilities located at the Pavilion at Port Orange and the New Smyrna Health Park.

More than 400 physicians hold privileges to practice at our facilities, and we employ more than 1,700 care team members. Our specialties include cardiology, cancer, emergency care, surgical services, obstetrics, Level II NICU, neurosurgery, stroke care, rehabilitation, weight-loss surgery, imaging, laboratory, home health, wound care, diabetes, hospice, physician practices, and womens services. We also offer the areas only inpatient rehabilitation facility with Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation for stroke care.

Every day, our 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, were committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

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

Benefits and Paid Days Off from Day One

Paid Parental Leave

Whole Person Well-being and Mental Health Resources

Schedule: Full-time (remote)

Shift: Days; Flexible: 6a-3p, or 7a-3:30p, 8a-4p, etc.

Location: AdventHealth Daytona Beach 301 Memorial Medical Parkway, Daytona Beach, FL 32117

The role youll contribute:

The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding teams across the organization by completing both overall and account-level quality reviews of inpatient and outpatient coding functions. Quality audits are inclusive of assessing staff adherence to inpatient or outpatient coding policies, procedures, and guidelines established by corporate leadership. The QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and delivering additional education to correct inaccurate coding, equipping staff with the knowledge and skills required to achieve industry best practice levels of performance.

The value youll bring to the team:

Completes timely and accurate quality assurance audits while adhering to inpatient and/or outpatient coding policies, procedures, and established audit schedule; translates quality auditing results into practical recommendations for improvements in further standardizing audit policies and procedures actionable recommendations for improvement.

Uses relevant references to perform audits, including but not limited to: International Classification of Diseases, Clinical Modification (ICD-10-CM and ICD-10-PCS), CPT, ICD-10-CM/PCS Coding Conventions, Official Coding Guidelines, CPT Assistant, AHA Coding Clinic, CMS guidelines, NCCI guidance, etc.

Provides outcomes of coding quality audit reviews with leadership

Maintains current knowledge of coding principles and guidelines as coding conventions are updated; monitors and analyzes current industry trends and issues for potential organizational impact

Assists with the facilitation of scheduled external audits

Responds to inpatient or outpatient coding questions from assigned coders/providers and provides official inpatient coding references and guidelines.

Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating coders, auditors, managers, and directors throughout the organization

Will provide feedback to coding and CDI team members on escalated accounts.

Collaborates with providers, AH Clinical, CDI, inpatient and outpatient coding staff to assist with or resolve issues relating to medical record documentation and coding.

May participate in Iodine Retrospect inpatient reviews in partnership with CDI.

Provides feedback on the application of coding guidelines, practices, and proper documentation techniques, and data quality improvements.

Provides input on which quality audit and metrics will be tracked and visualized on shared dashboards to report outcomes and improve processes and workflows including programming requests, process changes, and staff accuracy and efficiencies

Serves as point person for regional HIM/Coding teams to support quality audits and develop/maintain reports, scorecards and dashboards that effectively tell the story of the data and highlight education opportunities in a manner that is easily understood and acted upon

The expertise and experiences youll need to succeed:

Minimum qualifications:

High School diploma or equivalent

Associates degree in HIM field or completion of a coding certificate program

Five (5) or more years of relevant experience

Must currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Professional Coder Payer (CPC-P)

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

Category: Health Information Management

Organization: AdventHealth Daytona Beach

Schedule: Full-time

Shift: 1 - Day

Req ID: 25027333

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.