Job Information

AdventHealth Coding Auditor Inpatient HIM FT Day in Maitland, Florida

Description

YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!

Coding Auditor - In Patient HIM at AdventHealth Maitland

Location Address: 900 Winderley Place, Maitland, 32751

Work Hours/Shift:

  • Full Time, Days

You Will Be Responsible For:

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.

Qualifications

What You Will 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

KNOWLEDGE AND SKILLS REQUIRED:

  • Expansive knowledge of Medicare DRGs, coding guidelines and reimbursement systems including MS Office and Encoder software experience.

  • Ability to communicate effectively with physicians and other allied health personnel

  • Computer skills to include Microsoft Office

  • Self motivated and ability to work independently in a remote setting

  • Critical-thinking and problem-solving skills

  • Thorough knowledge of medical terminology, anatomy & physiology, and pathophysiology

  • Ability to educate effectively

KNOWLEDGE AND SKILLS PREFERRED:

  • Microsoft Excel Proficiency

GENERAL SUMMARY:

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

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 Orlando

Schedule: Full-time

Shift: 1 - Day

Travel: AdventHealth Orl Support

Req ID: 21038558

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.