Coding Auditor, Hybrid Day Shift, Shared Services

Support Center

If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.

 

Adventist Healthcare seeks to hire an experienced Coding Auditor for our Shared Services 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.
• Active American Heart Association Basic Life Support (BLS) certification required

Work Schedule:

#GR8 Other

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

• 403(b) retirement plan

• Free Employee parking

• Benefits Eligible Positions:

  • Competitive, comprehensive benefit plans [including health, employer-paid disability and life insurance, PTO]

  • Employer retirement contribution and match after 1-year of eligible employment with 3 year vesting  

  • Ancillary benefits such as flexible spending, legal and pet insurance to meet the needs of employees and their eligible family members

  • Subsidized childcare at participating childcare centers

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 Adventist HealthCare team today, apply now to be considered!

COVID-19 Vaccination

Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to fu