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

Benefits 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. Its 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.

**Job Location** : Virtual

**Shift:** Full-Time, Monday-Friday 8-4:30PM

The role you will 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 will 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.

+ Maintains current knowledge of coding principles and guidelines as coding conventions are updated; monitors and analyzes current industry trends and issues for potential organizational impact.

+ Assists with the facilitation of scheduled external audits.

+ Responds to inpatient or outpatient coding questions from assigned coders/providers and provides official inpatient coding references and guidelines.

+ Creates clear and accurate audit findings and recommendations in written audit reports for advising and educating coders, auditors, managers, and directors throughout the organization.

+ Provides feedback to coding and clinical documentation improvement team members on escalated accounts.

+ Collaborates with providers, coding staff and other stakeholders to assist with or resolve issues relating to medical record documentation and coding.

+ Provides input on which quality audit and metrics will be tracked and visualized on shared dashboards to report outcomes and improve processes and workflows.

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

+ High School Grad or Equiv Required

+ 5 Work Experience Required

+ Thorough understanding of coding processes and workflows

+ Expert level knowledge of disease pathophysiology and drug utilization

+ Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS-DRG), and All Patient Refined Diagnosis-Related Groups (APR DRG), NCCI policy, OCE Edits, APCs.

+ Expert level knowledge of Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories (HCC)

+ Expert level knowledge of medical terminology, coding guidelines and methodologies

+ Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature (as needed to perform duties)

+ Proficient in MS Office (Word, Excel, PowerPoint, Visio, Outlook, etc.) and familiarity with database programs

+ Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient manner

+ Ability to communicate professionally and effectively in English, both verbally and in written form

+ Ability to follow complex instructions and procedures, with close attention to detail

+ Epic experience

+ Certified Coding Specialist (CCS) Required OR

+ Registered Health Information Administrator (RHIA) Required OR

+ Registered Health Information Technician (RHIT) - Cert Required OR

+ Certified Professional Coder Payer (CPC-P) Required OR

Preferred Qualifications:

+ Clinical licensure

+ Associate Preferred

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Health Information Management

**Organization:** AdventHealth Corporate

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 25042060

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.