Coding Auditor (Hybrid), Day Shift, Revenue Integrity

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Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist Healthcare's Support Center seeks to hire an experienced Coding Auditor for our Revenue Integrity department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Coding Auditor, you will: - Leads discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders. to improve overall revenue goals and departmental needs. - Analyzes and resolves billing edits and bill holds for areas impacted by coding - Manages assigned work queues and associated tasks to review, analyze, and provide corrective action. - Maintains work queues at agreed-upon levels to keep on task with department goals and objectives - Escalates barriers or concerns to the manager in a timely clearly articulated and documented format - Performs EHR analyses and research along with associated patient accounting, medical charting, and system interfacing to examine and understand underlying root causes of charge capture delays and reconciliation challenges - Performs root cause analyses on trends and systemic barriers and presents findings to leadership - Assesses Present on Admission (POA) indicators at AHC facilities - Communicate with clinical practices and providers in a productive and professional manner - Provide support to the Director, Manager, and Coordinators in their efforts to collaborate with AHC entities, physicians, physician practices, CMOs, CDI, and other stakeholders in understanding the impact of coding on care quality, documentation, and reimbursement. Qualifications include: - Extensive knowledge of ICD-10, CPT coding, Evaluation and Management Codes, modifiers, Coding Clinic and CPT Assistant - Experience with Denials Management as it pertains to coding experience and assessing related denials - Working knowledge of anatomy, medical and procedural terminology - Strong knowledge of medical billing practices - Familiarity with bill hold edits for coding concerns and questions - Extensive knowledge of 3M Encoder - Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel; fluency in Cerner and/or eCW is desirable. - Strong attention to detail and accuracy, using problem-solving skills and analytical thinking. - Understands and can apply CMS rules and regulations - Understanding and compliance with HIPAA laws and regulations - Understand query practice and guidelines and appropriate ways to communicate with coding vendors, other coding expertise, and clinicians - Strong experience with patient accounts audits and accuracy are required. - Good organizational, written, and verbal communication skills - Ability to perform comfortably in a fast-paced, deadline-oriented work environment. - Ability to work as an independent contributor. - High School or GED - 3+ years of coding experience in a hospital or medical practice setting - Certified in CCS, CCS-P, or CPC - RHIA, RHIT preferred. Work Schedule: Employment Type: Full-time Hours per Week: 40 hrs/week Typical Daily Schedule: Day Shift/ Hybrid Shift Type: Day Weekend Requirements: Required/Optional/None - e.g. every other weekend rotation Holiday Requirements: Required/On-call/Follow company holiday calendar On-Call: no Shift Differential Eligible: no Pay Range: $26.91 - $39.03 If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process. Under the Fair Labor Standards Act (FLSA), this position is classified as: United States of America (Non-Exempt) At Adventist HealthCare our job is to care for you. We do this by offering: Work life balance through nonrotating shifts Recognition and rewards for professional expertise Free Employee parking Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available) Paid Time Off Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance Subsidized childcare at participating childcare centers Tuition Reimbursement Employee Assistance Program (EAP) support As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County. If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference. Join the A

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