Remote Inpatient Coding Auditor — DRG & Appeals

AdventHealth; United States; On-site; USD 37,000 - 68,000; Full time

Benefits offered by this job

Medical

Dental

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave

Job summary

AdventHealth in Maitland, FL is seeking a detail-oriented Coding Auditor to review inpatient and outpatient records for ICD-10 and related DRG accuracy. You will provide education to coders, communicate with physicians, and defend DRG assignments under Official Guidelines.

This is a full-time on-site role with Florida’s compliance framework. Required RHIA/RHIT/CCS/CPC certifications, strong Medicare DRG knowledge, and excellent communication.

Qualifications

• Expansive knowledge of Medicare DRGs, APR-DRG, coding guidelines and reimbursement systems.
• Excellent interpersonal, verbal, and written communication skills; proficient in physician relations.
• Computer skills including Office and Encoder software; able to work remotely if required.

Responsibilities

• Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy.
• Provides continuing education to coding staff concerning changes in coding and reimbursement.
• Reviews clinical documentation, seeks clarification from physicians, and communicates with clinicians.
• Assists with writing compelling DRG appeals to defend assignments and protect reimbursements.
• Serves as a resource to Revenue Cycle to ensure business continuity and optimal revenue cycle management.

Skills

Attention to detail

Communication

Independent work

Education

High School Diploma

Technical/Vocational Training

Tools

Microsoft Office

Encoder software

Job description

AdventHealth in Maitland, FL is seeking a detail-oriented Coding Auditor to review inpatient and outpatient records for ICD-10 and related DRG accuracy. You will provide education to coders, communicate with physicians, and defend DRG assignments under Official Guidelines.

This is a full-time on-site role with Florida’s compliance framework. Required RHIA/RHIT/CCS/CPC certifications, strong Medicare DRG knowledge, and excellent communication.