Senior DRG & CDI Coding Auditor

Corporate; Orlando (FL); On-site; USD 67,000 - 124,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Paid Time Off

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Job summary

AdventHealth in Orlando, FL is seeking an experienced coding auditor to conduct high-risk audits across inpatient and outpatient encounters, validating ICD-10-CM/PCS or CPT/HCPCS usage and DRG methodologies to ensure accurate reimbursement.

The role collaborates with CDI, physicians, and coding teams to resolve complex documentation and coding scenarios, identify risk trends, and contribute to enterprise risk mitigation.

Qualifications

• Associates degree required; Bachelor preferred.
• CCS/RHIA/RHIT/CPC/CIRCC or equivalent certifications required.
• 6+ years acute care coding experience; 4+ years auditing experience.

Responsibilities

• Conduct high-risk audits across inpatient/outpatient encounters.
• Apply ICD-10-CM/PCS or CPT/HCPCS and DRG/IPPS methodologies.
• Collaborate with CDI, physicians, and coding teams to resolve complex cases.
• Identify risk trends and support education and quality improvements.

Skills

EMR systems

CAC systems

ICD-10-CM/PCS

CPT/HCPCS

DRG/IPPS

Regulatory guidance

Clinical documentation

Analytical skills

Communication

Education

Associates degree

Bachelors degree

Tools

Epic

Optum

Microsoft 365

Job description

AdventHealth in Orlando, FL is seeking an experienced coding auditor to conduct high-risk audits across inpatient and outpatient encounters, validating ICD-10-CM/PCS or CPT/HCPCS usage and DRG methodologies to ensure accurate reimbursement.

The role collaborates with CDI, physicians, and coding teams to resolve complex documentation and coding scenarios, identify risk trends, and contribute to enterprise risk mitigation.