Coding Auditor (Hybrid), Day Shift, Revenue Integrity

Support CenterIf you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.Adventist Healthcare's Support Center seeks to hire an experienced Coding Auditor for our Revenue Integrity 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 codingManages 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 objectivesEscalates barriers or concerns to the manager in a timely clearly articulated and documented formatPerforms 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 challengesPerforms root cause analyses on trends and systemic barriers and presents findings to leadershipAssesses Present on Admission (POA) indicators at AHC facilitiesCommunicate with clinical practices and providers in a productive and professional mannerProvide 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 AssistantExperience with Denials Management as it pertains to coding experience and assessing related denialsWorking knowledge of anatomy, medical and procedural terminologyStrong knowledge of medical billing practicesFamiliarity with bill hold edits for coding concerns and questionsExtensive knowledge of 3M EncoderProficiency 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 regulationsUnderstanding and compliance with HIPAA laws and regulationsUnderstand query practice and guidelines and appropriate ways to communicate with coding vendors, other coding expertise, and cliniciansStrong experience with patient accounts audits and accuracy are required.Good organizational, written, and verbal communication skillsAbility to perform comfortably in a fast-paced, deadline-oriented work environment.Ability to work as an independent contributor.High School or GED3+ years of coding experience in a hospital or medical practice settingCertified in CCS, CCS-P, or CPCRHIA, RHIT preferred.Work Schedule:Employment Type: Full-timeHours per Week: 40 hrs/weekTypical Daily Schedule: Day Shift/ HybridShift Type: DayHoliday Requirements: Follow the company holiday calendarPay Range:$26.91 - $39.03If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.Under the Fair Labor Standards Act (FLSA), this position is classified as:United States of America (Non-Exempt)At Adventist HealthCare our job is to care for you.We do this by offering:Work life balance through nonrotating shiftsRecognition and rewards for professional expertiseFree Employee parkingMedical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hireEmployer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)Paid Time OffEmployer retirement contribution and match after 1-year of eligible employment with a 3-year vesting periodVoluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insuranceSubsidized childcare at participating childcare centersTuition ReimbursementEmployee Assistance Program (EAP) supportAs 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 VaccinationAdventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.Tobacco and Drug StatementTobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).Equal Employment OpportunityAdventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office. #J-18808-Ljbffr Adventist HealthCare