Healthcare Coding Auditor: Accuracy & Compliance

1103 Team Member Services; Orlando (FL); On-site; USD 55,000 - 103,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

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

Job summary

AdventHealth is seeking a skilled Medical Coder Auditor to conduct post-bill coding audits across inpatient and outpatient services. The role requires deep knowledge of ICD-10-CM/PCS, CPT/HCPCS and DRG/IPPS/OPPS rules, with strong analytical and communication skills for actionable feedback.

Ideal candidates have 5+ years in acute care coding, CCS/RHIA/RHIT/CPC/CIRCC, and experience with Epic/Optum EMR systems. This is a full-time on-site position in Orlando, FL with competitive benefits.

Qualifications

• 5+ years of acute care inpatient or outpatient hospital coding.
• Experience with high complexity cases.
• Experience in coding audits or quality review.
• Certifications in CCS, RHIA, RHIT, CPC or CIRCC are required.

Responsibilities

• Conducts post-bill coding audits to assess coding accuracy and reimbursement integrity.
• Performs coding validation including DRG, MCC/CC, modifier, and APC assignments.
• Applies IPPS/OPPS rules and CPT/HCPCS guidelines during audits.
• Identifies trends in coding accuracy and reimbursement outcomes.
• Provides detailed audit findings and education to support improvements.
• Collaborates to translate audit results into training materials.
• Supports onboarding audits and competency validation for new coders.
• Reinforces adherence to coding guidelines and CMS requirements.
• Tracks audit outcomes and quality trends for performance improvement.

Skills

EMR CAC systems

Epic Optum

ICD-10-CM/PCS CPT/HCPCS

DRG IPPS OPPS APC

Coding audits

Audit feedback

CMS regulations

Analytical skills

Communication

Time management

Education

High School Grad or Equiv

Associates degree

Healthcare related discipline

Job description

AdventHealth is seeking a skilled Medical Coder Auditor to conduct post-bill coding audits across inpatient and outpatient services. The role requires deep knowledge of ICD-10-CM/PCS, CPT/HCPCS and DRG/IPPS/OPPS rules, with strong analytical and communication skills for actionable feedback.

Ideal candidates have 5+ years in acute care coding, CCS/RHIA/RHIT/CPC/CIRCC, and experience with Epic/Optum EMR systems. This is a full-time on-site position in Orlando, FL with competitive benefits.