Coding Auditor Inpatient

Work Hours/Shift:

Full Time

You Will Be Responsible For:

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 AdventHealth 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

Qualifications

What Will You Need:

EDUCATION AND EXPERIENCE REQUIRED :

At least five years proven acute care hospital inpatient coding experience

EDUCATION AND EXPERIENCE PREFERRED :

Previous coding auditing experience

Successful completion of at least a two-year coding education program

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED :

RHIA, RHIT, or CCS certification or credential

Job Summary:

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.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Health Information Management

Organization: AdventHealth Orlando

Schedule: Full-time

Shift: 1 - Day

Req ID: 24038940

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.