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Coding Outpatient Auditor Virtual
This a Full Remote job, the offer is available from: United States
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.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, 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
Schedule:
Full timeShift:
Day (United States of America)Address:
224 MEMORIAL MEDICAL PKWYCity:
DAYTONA BEACHState:
FloridaPostal Code:
32117Job Description:
Shift Schedule - Virtual
Monday-Friday 7:30am-4:00pm
Performs quality reviews on coded records to validate ICD-10, CPT, APC, and overall coding accuracy retrospectively and concurrently. Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weaknesses identified during the coding validation reviews. Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance. Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist, and effectively communicates with physicians and allied health personnel. Assists with writing compelling appeals to all APC denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the APC assignment and protect the organization’s reimbursement. Serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management. Prepares statistical reports conveying the individual and overall accuracy of coding. Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency. Maintains the confidentiality of employees, patients, administrative, and medical staff information with no infractions. Works with other Coding team members to keep coding within two days of discharge and hospital coding days within three days, maintaining a median coding turn-around time of 3 days or less. Meets and maintains established productivity standards and a 98% or better in coding accuracy. Performs concurrent coding as assigned. Other duties as assigned.
Knowledge, Skills, and Abilities:• Expansive knowledge of Medicare APCs, CPT, NCCI, coding guidelines and guidance materials, and reimbursement systems.
• Excellent interpersonal, verbal, and written communication skills; proficient in and demonstrate excellent physician relations.
• Computer skills, including Microsoft Office and Encoder software.
• Self-motivated and able to work independently in a remote setting.
• Critical thinking and problem-solving skills.
• Comprehensive knowledge of coding functions, rules, and guidelines related to APC assignments.
• Strong ability to organize/triage work and manage multiple priorities simultaneously with little supervision.
• Possesses knowledge about risk adjustment and publicly reported hospital data.
• Possesses knowledge about patient safety indicators, SOI/ROM, and the importance of hospital publicly reported data, value-based purchasing, and how coding impacts these measures.
• Progressive professional growth.
• Exhaustive knowledge of outpatient coding and working knowledge of ICD-10-CM, CPT, NCCI edits, and all regulatory compliance requirements.
Education:
• High School Grad or Equiv [Required]
• Technical/Vocational School [Required]
Field of Study:
• electronics, engineering, related technical discipline or business administration
Work Experience:
• 5+ years of inpatient or outpatient coding or auditing experience [Required]
Additional Information:
• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement: - Graduate of managerial training program or military training/experience and 4+ years of experience in inpatient or outpatient coding or auditing experience OR - High School Grad or Equiv and 6+ years of experience in inpatient or outpatient coding or auditing experience
Licenses and Certifications:
• Registered Health Information Administrator (RHIA) [Required] OR
• Registered Health Information Technician (RHIT) [Required] OR
• Certified Coding Specialist (CCS) [Required] OR
• Certified Professional Coder (CPC) [Required] OR
• Infection Control Certification (CIC) [Required]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$23.91 - $44.46This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
This offer from "AdventHealth Central Florida" has been enriched by Jobgether.com and got a 72% flex score.
