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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. 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.

**Schedule:** Full Time

**Shift** : Days / Remote

**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:

Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples are reviewed, and the results are provided to management and feedback to the individual coder. Assist with educating all coders and Medical Staff members while demonstrating a willingness to educate throughout the organization as needed. Maintains extensive knowledge of all coding standards and effectively communicates with appropriate individuals. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.

The value you'll bring to the team:

Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, 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.

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 DRG denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organizations reimbursement.

Serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management.

Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance.

Prepares statistical reports conveying the individual and overall accuracy of coding.

Qualifications

The expertise and experiences you'll need to succeed:

+ High School Grad or Equiv degree - Required

+ 5 years of relevant work experience - Required

+ Registered Health Information Administrator (RHIA) Required or

+ Registered Health Information Technician (RHIT) or

+ Certified Coding Specialist (CCS) or

+ Certified Professional Coder (CPC)

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 Tampa

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 25043538

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.