Adventist HealthCare seeks an experienced Coding Auditor for their Revenue Integrity department on a hybrid, day-shift schedule. The role involves leading discussions and educational sessions to improve revenue goals, analyzing and resolving billing edits and bill holds impacted by coding, managing work queues, performing EHR analyses and root cause analyses, assessing Present on Admission indicators, and communicating with clinical practices and providers.
Candidates should have extensive knowledge of ICD-10, CPT coding, Evaluation and Management codes, modifiers, Coding Clinic, and CPT Assistant. Experience with denials management related to coding, familiarity with medical billing practices and bill hold edits, and proficiency in 3M Encoder and Microsoft Office are required. Knowledge of Cerner and/or eCW is desirable. Candidates must understand CMS rules and HIPAA compliance, have strong analytical skills, and be able to work independently in a fast-paced environment.
Qualifications include a High School or GED and 3+ years of hospital or medical practice coding experience. Certification in CCS, CCS-P, or CPC is required; RHIA or RHIT is preferred.
Work schedule is full-time, 40 hours per week, hybrid with a day shift.
Adventist HealthCare offers work-life balance through nonrotating shifts, recognition and rewards, free employee parking, comprehensive medical, dental, and vision coverage starting on the date of hire, employer-paid disability and life insurance, paid time off, retirement contributions, voluntary benefits, subsidized childcare, tuition reimbursement, and employee assistance program (EAP) support.
The organization emphasizes faith-based holistic care encompassing physical, mental, and spiritual healing and has a long-standing presence in the Maryland area.
- Extensive knowledge of ICD-10, CPT coding, Evaluation and Management codes, modifiers, Coding Clinic, and CPT Assistant
- Experience with denials management related to coding
- Working knowledge of anatomy, medical and procedural terminology
- Strong knowledge of medical billing practices
- Familiarity with bill hold edits for coding concerns
- Extensive knowledge of 3M Encoder
- Proficiency in Microsoft Office (Outlook, Word, PowerPoint, Excel); Cerner and/or eCW preferred
- Understanding of CMS rules and regulations
- Compliance with HIPAA laws and regulations
- Understanding of query practice and communication with coding vendors, experts, and clinicians
- Strong experience with patient accounts audits
- Good organizational, written, and verbal communication skills
- Ability to work independently in a fast-paced, deadline-oriented environment
- High School diploma or GED
- 3+ years coding experience in hospital or medical practice
- Certification: CCS, CCS-P, or CPC required; RHIA or RHIT preferred
- Work-life balance with nonrotating shifts
- Recognition and rewards for professional expertise
- Free employee parking
- Medical, prescription, dental, and vision coverage starting on date of hire
- Employer-paid short & long-term disability, basic life insurance, and AD&D
- Paid time off
- Employer retirement contribution and match after 1 year with 3-year vesting
- Voluntary benefits including flexible spending accounts, legal plans, life, pet, auto, home, long-term care, critical illness & accident insurance
- Subsidized childcare at participating centers
- Tuition reimbursement
- Employee Assistance Program (EAP) support
Additional policies include COVID-19 vaccination recommendations and tobacco/drug use standards.
Location
Maryland, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$55,973 - $81,182
Remote work allowed
Yes
Posted
1 month ago