Coding Auditor

AdventHealth; Tampa (FL); On-site; USD 36,000 - 66,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Tampa, FL is seeking an experienced Healthcare Coding Auditor to conduct post-bill coding audits across inpatient and outpatient services. You will verify DRG, CPT/HCPCS, and IPPS/OPPS alignment, identify trends, and provide actionable feedback to improve coding accuracy.

The role requires 5+ years of acute care coding experience, CCS/RHIA/RHIT/CPC/CIRCC or equivalent credentials, and strong analytical and communication skills.

Qualifications

• Proficient experience with EMR and CAC systems (Epic and Optum preferred).
• Strong knowledge of ICD-10-CM/PCS, and/or CPT/HCPCS coding, modifier usage and reimbursement methodologies
• Understanding of DRG/IPPS and/or OPPS/APC reimbursement systems and coding requirements

Responsibilities

• 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

Skills

EMR/CAC systems

ICD-10-CM/PCS & CPT/HCPCS

DRG/IPPS & OPPS/APC

Audit feedback

CMS guidelines

Analytical skills

Communication

Time management

Education

High School Diploma

Associate degree

Job description

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:

3100 E FLETCHER AVE

City:

TAMPA

State:

Florida

Postal Code:

33613

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

$26.29 - $48.91

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.