Coding Auditor

AdventHealth; Tampa (FL); On-site; USD 40,000 - 68,000; Full time

Benefits offered by this job

Benefits from Day One

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave - 4 weeks

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Tampa, FL is seeking a skilled Coding Auditor to conduct post-bill coding audits across inpatient and outpatient services, ensuring accuracy, compliance, and proper reimbursement.

You will review DRG assignments, modifiers, and CPT/HCPCS usage, translate findings into actionable education, and collaborate with education teams to elevate coding standards while meeting regulatory requirements.

Qualifications

• Proficient knowledge of ICD-10-CM/PCS and CPT/HCPCS coding and modifier usage.
• Understanding of DRG/IPPS and OPPS/APC reimbursement systems.
• Ability to perform coding audits and identify trends.
• Translate audit findings into actionable education and training.

Responsibilities

• Conduct post-bill coding audits to assess accuracy and reimbursement integrity.
• Perform coding validation, including DRG assignment and APC review.
• Apply coding guidelines and CMS requirements during audits.
• Provide detailed audit findings to support accuracy improvement.
• Collaborate with education team to translate results into training.
• Support onboarding audits and competency validation for new coders.

Skills

ICD-10-CM/PCS knowledge CPT/HCPCS

DRG/IPPS knowledge

Audit & feedback delivery

CMS regulatory knowledge

Communication & training skills

Time management

Education

High School Grad or Equiv

Associates degree

Tools

Epic

Optum

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.