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 that together we are even better.

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

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

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Address:

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Job Description:

• Reviews and analyzes pre-bill and post-bill audit results to identify coding accuracy trends and opportunities for improvement

• Evaluates DRG validation findings, including MCC/CC capture and acuity representation, to support targeted education

• Reviews charge capture results and edit trends to identify gaps in coding and billing accuracy

• Reviews Retrospective findings, ensuring alignment between documentation and coding practices

• Develop and deliver individualized education plans based on coder performance, audit findings, and identified gaps

• Designs and implements team-based education programs to address common trends and reinforce standardized coding practices

• Creates and maintains education materials, job aids, and coding guidance based on audit and regulatory findings

• Supports onboarding and coding school initiatives, ensuring consistent training and competency development

• Reinforces adherence to coding guidelines, regulatory requirements (IPPS, OPPS, CMS) and organizational standards

• Collaborates with Coding Quality, Compliance and Risk Integrity, and Operations to align education with audit findings and workflow improvements

• Tracks and measures education effectiveness, including improvements in coding accuracy and performance

• Maintains knowledge of coding updates, regulatory changes, and industry best practices

• Performs other duties as assigned

Knowledge, Skills, and Abilities:

• Strong knowledge of ICD-10-CM/PCS or CPT/HCPCS [Required]

• Understanding of DRG/IPPS or OPPS/APC reimbursement methodologies [Required]

• Ability to analyze audit results, DRG validation and charge capture findings [Required]

• Ability to translate findings into clear, actionable education and training programs [Required]

• Strong presentation and communication skills [Required]

• Ability to develop individualized coaching and team education strategies [Required]

• Knowledge of coding guidelines and other regulatory requirements [Required]

• Strong analytical and problem-solving skills [Required]

Education:

• Associates degree [Required]

• Bachelor's [Preferred]

Field of Study:

• in healthcare related or education field

Work Experience:

• 3+ years of coding experience (inpatient and outpatient) [Required]

• Experience in coding audit, DRG validation, or education/training roles [Preferred]

• Experience working with CDI teams or documentation review processes [Preferred]

Additional Information:

• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:

• Associates AND 3+ years of relavant experience OR

• High School Grade AND 5+ years of relevant expereince

Licenses and Certifications:

• Certified Coding Specialist (CCS) [Required] OR Registered Health Information Administrator (RHIA) [Required] OR Registered Health Information Technician (RHIT) [Required] OR Certified Professional Coder (CPC) [Required]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.