Revenue Integrity Coding Auditor (Hybrid/Day Shift)

Adventist HealthCare; Gaithersburg (MD); Hybrid; USD 65,000 - 92,000; Full time

Job summary

Adventist HealthCare's Revenue Integrity department seeks an experienced Coding Auditor to support charge capture accuracy and reimbursement. The role emphasizes analyzing billing edits, managing work queues, and collaborating with clinical leadership to drive compliant coding practices.

The ideal candidate has extensive ICD-10/CPT knowledge, familiarity with denials management, and experience with 3M Encoder and EHR systems.

Qualifications

• Extensive knowledge of ICD-10, CPT coding, Evaluation and Management Codes, modifiers, Coding Clinic and CPT Assistant.

Responsibilities

• Leads discussions and educational sessions with stakeholders to improve revenue goals.

Skills

ICD-10 coding

CPT coding

Denials management

CMS rules

HIPAA compliance

3M Encoder

Microsoft Office

Cerner / eCW familiarity

anatomy terminology

problem solving

Education

High School or GED

CCS certification

CCS-P certification

CPC certification

RHIA preferred

RHIT preferred

Tools

3M Encoder

Cerner

eCW

Job description

Adventist HealthCare's Revenue Integrity department seeks an experienced Coding Auditor to support charge capture accuracy and reimbursement. The role emphasizes analyzing billing edits, managing work queues, and collaborating with clinical leadership to drive compliant coding practices.

The ideal candidate has extensive ICD-10/CPT knowledge, familiarity with denials management, and experience with 3M Encoder and EHR systems.