Coding Auditor

AdventHealth; Orlando (FL); Presencial; USD 36.000 - 68.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental, Vision Insurance

Paid Time Off

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Support

Pet Benefits

Descripción de la vacante

AdventHealth in Orlando, FL is hiring a Coding Auditor to perform post-bill coding audits across inpatient and/or outpatient services. You will validate DRG assignments, MCC/CC integrity, modifiers, and APCs while ensuring compliance with coding guidelines.

The role requires 5+ years of acute care coding, CCS/RHIA/RHIT/CPC/CIRCC credentials, and strong analytical skills. Excellent communication and time management are essential.

Formación

• 5+ years of acute care inpatient or outpatient hospital coding experience.
• Experience with high complexity cases and coding audits or quality review.
• Proficient with ICD-10-CM/PCS, CPT/HCPCS, modifiers and reimbursement methods.
• Knowledge of DRG/IPPS and OPPS/APC systems and CMS requirements.
• Ability to translate audit findings into actionable education.
• Strong communication and time-management skills.

Responsabilidades

• Conduct post-bill coding audits for accuracy and reimbursement integrity.
• Perform DRG, MCC/CC, modifier, and APC validation reviews.
• Apply IPPS/OPPS knowledge during audits and reviews.
• Identify trends in accuracy, documentation quality, and reimbursement outcomes.
• Provide detailed audit findings to support improvement initiatives.
• Collaborate with education team to translate results into training.

Conocimientos

EMR systems

CAC systems

ICD-10-CM/PCS

DRG/IPPS knowledge

Audit proficiency

CMS guidelines

Analytical skills

Communication

Time management

Educación

High School Grad or Equiv

Associates degree

Herramientas

Epic

Optum

Descripción del empleo

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.

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

• Benefits from Day One: Medical, 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
• Mental Health Resources and Support
• Pet Benefits

Schedule: Full time

Shift: Day (United States of America)

Address: 601 E Rollins St

City: Orlando

State: Florida

Postal Code: 32803

Job Description

• Conducts post‑bill coding audits to assess coding accuracy, documentation alignment, and reimbursement integrity across inpatient and/or outpatient service lines.
• Performs coding validation activities, including DRG assignment, MCC/CC integrity review, modifier validation, and APC assignment review.
• Applies knowledge of IPPS, OPPS, DRG, APC, ICD‑10CM/PCS, CPT/HCPCS, modifier usage, and coding guidelines during audit reviews.
• Identifies trends related to coding accuracy, documentation quality, service capture, and reimbursement outcomes.
• Provides detailed audit findings and feedback to support accuracy improvement and standardization of coding practices
• Collaborate with the education team to translate audit results into targeted education and training initiatives
• Supports onboarding audits and competency validation for new coders
• Reinforces adherence to coding guidelines, regulatory requirements, and enterprise standards
• Participates in development of coding education materials, guidance, and training content based on audit trends
• Tracks and reports on audit outcomes, accuracy rates, and quality trends and performance improvement trends
• Performs other duties as assigned

Knowledge, Skills, and Abilities

• Proficient experience with EMR and CAC systems (Epic and Optum preferred). [Required]
• Strong knowledge of ICD‑10‑CM/PCS, and/or CPT/HCPCS coding, modifier usage and reimbursement methodologies [Required]
• Understanding of DRG/IPPS and/or OPPS/APC reimbursement systems and coding requirements [Required]
• Ability to perform coding audits and identify accuracy, compliance, and reimbursement trends [Required]
• Ability to translate audit findings into clear, actionable feedback and education [Required]
• Knowledge of coding guidelines and CMS regulatory requirements [Required]
• Strong analytical and problem‑solving skills [Required]
• Effective communication and collaboration skills [Required]
• Ability to manage time and meet deadlines [Required]

Education

• High School Grad or Equiv [Required]
• Associates degree [Preferred]

Field of Study

• Healthcare related discipline

Work Experience

• 5+ years of acute care inpatient or outpatient hospital coding[Required]
• Experience with high complexity cases [Required]
• Experience in coding audits or quality review [Preferred]

Licenses and Certifications

• Certified Coding Specialist (CCS) [Required] OR Registered Health Information Administrator (RHIA) [Required] OR Registered Health Information Technician (RHIT) [Required] OR Certified Professional Coder (CPC) [Required] OR Certified Interventional Radiology Cardiovascular Coder (CIRCC) [Required]

Physical Requirements

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range

$26.55 - $49.39

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

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