Outpatient Coding Auditor

All the benefits and perks you need for you and your family: - Benefits from Day One - Paid Days Off from Day One 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: FT + Shift : Remote Location: 601 EAST ROLLINS STREET, Orlando, 32803 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: 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, timely clinical documentation. Assists with writing compelling appeals to all APC denials from outside agencies referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the APC assignment and protect the organization's 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, balancing reimbursement considerations with regulatory compliance. Qualifications The expertise and experiences you'll need to succeed : EDUCATION AND EXPERIENCE REQUIRED : High school diploma and two years of coding education (medical coding certificate program or 2-year HIM program), including medical terminology, anatomy and physiology, and pathophysiology coursework. Five years of acute care coding experience in Emergency Department, ancillary, observation, or surgery coding LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED : RHIA, RHIT, CCS, CPC, or CIC certification with required years of experience 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: 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.