Quakertown, Pennsylvania
Seattle, Washington
New City, New York
Louisiana
Hershey, Pennsylvania
Posted: 22-Feb-25
Location: Tampa, Florida
Categories:
Internal Number: 25006805
All the benefits and perks you need for you and your family:
·Paid Days Off from Day One
·Student Loan Repayment Program
·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 thattogetherwe are even better.
Schedule: Full Time
Shift: Days
The community you’ll be caring for:AdventHealth Division
·AdventHealth Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
·Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
·Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
·Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
The role you’ll contribute:
The Coding Quality Auditor, under the general supervision of the Outpatient Coding Manager, is responsible for the internal coding audit and clinical quality reviews. The Coding Quality Auditor will work in conjunction with the Outpatient Operations Manager to ensure the integrity of coded data, the education and training of the coding staff, as well as being a resource to the entire organization on issues related to coding data. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The value you’ll bring to the team:
· Codes and abstracts charts in accordance with ICD-10-CM conventions, Coding Guidelines/Clinics, and CPT Assistant, applying coding rules applicable to AdventHealth West Florida Division and requirements of Medicare and payor specifications.
· Assist with timely interaction between departments to resolve issues.
· Mentor and educate other coders.
· Discuss optimization and documentation issues with appropriate clinical physicians and personnel to ensure optimal coding. Querying physicians for the clarification or addition of diagnosis, complications or co-morbid conditions present on as needed basis.
· Abides by the Standards of Ethical coding as set forth by American Health Information Management Association (AHIMA).
· Queries physicians when code assignments are not straightforward or documentation in the record is inadequate.
· Reviews payer denials in accordance with the denials process.
· Maintains productivity standards per hospital policy.
· Maintains 98% accuracy rate.
· Assists manager in maintaining goals for accounts discharged not final billed.
· Assists in reviewing and correcting any information for the Agency for Healthcare Administration (AHCA).
· Reports non-compliance issues detected through auditing and monitoring to manager.
· Keeps abreast of coding guidelines, OPPS, NCCI edits and reimbursement reporting requirements, and brings identified concerns to manager for resolution.
· Maintains a current knowledge of ICD-10-CM/CPT coding updates and changes through Coding Clinics and seminars, as well as changes in the Medicare/Insurance industry.
· Uses the 3M/coding software and Dolbey Computer Assisted Coding application; ICD-10-CM and CPT code books and Coding Clinics sources per established coding principals and guidelines.
The expertise and experiences you’ll need to succeed:
· Minimum of 3 years’ experience coding outpatient records.
· CPC or CCS Required
