Risk Adjustment Coding Auditor

Adventist Health System; Town of Florida (NY); Remote; USD 70,000 - 90,000; Full time

Job summary

A prominent healthcare provider is seeking a Risk Adjustment Coding Auditor to support inpatient and outpatient coding quality audits. The role involves performing audits, ensuring compliance with coding standards, and providing feedback to enhance coding accuracy. Candidates should have a high school diploma or equivalent, a coding certificate, and at least 5 years of experience in coding serious care charts. This role offers flexibility with a remote work location.

Benefits

Benefits from Day One

Paid Days Off from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• 5+ years of coding acute care hospital charts.
• Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) - Cert or Certified Professional Coder (CPC) required.

Responsibilities

• Support coding operations by performing quality audits.
• Review medical records for coding accuracy.
• Provide education to coding staff to correct inaccuracies.

Skills

Coding accuracy

Quality assurance audits

Patient record analysis

Education

High School Grad or equivalent

Completion of a coding certificate program

Associate's degree in HIM field

Job description

Risk Adjustment Coding Auditor– AdventHealth PHSO Resources

All the benefits and perks you need for you and your family:

• Benefits from Day One

• Paid Days Off from Day One

• Career Development

• Whole Person Wellbeing Resources

• Mental Health Resources and Support

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.

Schedule:

Full Time

Shift

Monday - Friday 8:00am to 5:00pm

Location

Remote

The role you’ll contribute:

The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding teams across the organization by completing both overall and account-level quality reviews of inpatient and outpatient coding functions. Quality audits are inclusive of assessing staff adherence to inpatient or outpatient coding policies, procedures, and guidelines established by corporate leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and delivering additional education to correct inaccurate coding, equipping staff with the knowledge and skills required to achieve industry best practice levels of performance.

The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as well as rules and regulations of all applicable local, state, and federal agencies and accrediting bodies.

The value you’ll bring to the team:

• Serves as point person for regional health information management and coding teams to support quality audits and develop/maintain reports, scorecards, and dashboards that effectively tell the story of the data and highlight education opportunities.

• Other duties as assigned.

• Completes timely and accurate quality assurance audits while adhering to inpatient and/or outpatient coding policies, procedures, and established audit schedules.

• Translates quality auditing results into practical recommendations for improvements in further standardizing audit policies and procedures.

• Uses relevant references to perform audits, including applicable software, guidelines and guidance.

• Provides outcomes of coding quality audit reviews to leadership.

The expertise and experience you’ll need to succeed:

Minimum qualifications:

• High School Grad or equivalent

• Completion of a coding certificate program

• 5+ years of coding acute care hospital charts

• Certified Coding Specialist (CCS), or

• Registered Health Information Administrator (RHIA), or

• Registered Health Information Technician (RHIT) - Cert

• Certified Professional Coder (CPC)

Preferred qualifications:

• Associate’s degree in HIM field