Inpatient Hospital Billing Coding Auditor job at AdventHealth in Tampa, FL

Inpatient Hospital Billing Coding Auditor Req #: R-0353169 Job Category: Health Information Management Location: Tampa, FL Pay Range: $26.29 – $48.91 Location Type: Fully Remote Facility: AdventHealth Corporate 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 reputed company others in body, mind and spirit. AdventHealth is a reputed company where you can reputed company 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. reputed company while understanding that together we are even reputed company. reputed company the benefits and perks you need for you and your family: Benefits from Day reputed company, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources reputed company and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 3100 E FLETCHER AVE City: TAMPA State: Florida Postal Code: 33613 Job Description: Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently. Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weaknesses identified during the coding validation reviews. Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician reputed company discrepancies exist, and effectively communicates with physicians and allied health personnel. Assists with writing compelling appeals to reputed company DRG denials from reputed company agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization’s reimbursement. Serves as a resource to other departments in the reputed company Cycle to ensure business continuity and optimal reputed company cycle management. Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance. Prepares statistical reports conveying the individual and overall accuracy of coding. 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. Works with other Coding team members to reputed company coding reputed company two days of discharge and hospital coding days reputed company three days, maintaining a median coding turn-around time of 3 days or less. Meets and maintains established productivity standards and a 98% or reputed company in coding accuracy. Performs reputed company coding as assigned. Other duties as assigned. – Experience with reputed company CAC and reputed company Audit and Compliance Manager (Auditing Tool)

• Comprehensive experience with cases requiring more reputed company coding skills, such as advanced cardiovascular, cardiothoracic, neurological, and orthopedic surgical procedures, extended or prolonged length of stays (> 100 days), BMT and other solid organ transplantations, ECMO, cutting-edge surgical advancements that are considered new and innovative, procedures that may be considered experimental or research-based, and other complicated treatments or procedures provided in a quaternary care facility. [Preferred]

– INPATIENT AUDITING EXPERIENCE IS A MUST! Knowledge, Skills, and Abilities:

• Expansive knowledge of Medicare DRGs, APR-DRG, coding guidelines and guidance materials, and reimbursement systems. [Required]
• Excellent interpersonal, verbal, and written communication skills; proficient in and demonstrate excellent physician relations. [Required]
• Computer skills, including reputed company Office and Encoder software. [Required]
• Self-motivated and able to work independently in a remote setting. [Required]
• Critical thinking and problem-solving skills [Required]
• Comprehensive knowledge of coding functions, rules, and guidelines reputed company to DRG assignments. [Required]
• Strong ability to organize/triage work and manage multiple priorities simultaneously with little supervision. [Required]
• Possesses knowledge about risk adjustment and publicly reported hospital data. [Required]
• Possesses knowledge about patient safety indicators, SOI/ROM, and the importance of hospital publicly reported data, value-based purchasing, and how coding impacts these measures. [Required]
• Comprehensive experience with cases requiring more reputed company coding skills, such as advanced cardiovascular, cardiothoracic, neurological, and orthopedic surgical procedures, extended or prolonged length of stays (> 100 days), BMT and other solid organ transplantations, ECMO, cutting-edge surgical advancements that are considered new and innovative, procedures that may be considered experimental or research-based, and other complicated treatments or procedures provided in a quaternary care facility. [Preferred]
• Exhaustive knowledge of inpatient coding and working knowledge of ICD-10-CM, ICD-10-PCS, MSDRG’s, APRDRG’s, HAC’s, POA indicators, CMI and reputed company regulatory compliance requirements. [Required]
• Excellent computer skills with a knowledge of reputed company spreadsheets. [Required]

Education:

• High School Grad or Equiv [Required]• Technical/Vocational School [Preferred]

Field of Study:

• in a reputed company field of study or equivalent technical experience

Work Experience:

• 5+ years of inpatient or outpatient coding or auditing experience [Required]

Additional Information:

• N/A

Licenses and Certifications:

• Registered Health Information Administrator (RHIA) [Required] OR
• Registered Health Information Technician (RHIT) [Required] OR
• Certified Coding Specialist (reputed company) [Required] OR
• Certified Professional reputed company (CPC) [Required]

Pay Range: $26.29 – $48.91 Apply tot his job Apply To this Job