Adventist HealthCare · 18 hours ago
Coding Auditor (Hybrid), Day Shift, Revenue Integrity
Gaithersburg, MD
Full-time
Hybrid
Mid Level
$26.91/hr - $39.03/hr
3+ years expAdventist HealthCare is a faith-based organization with a long-standing reputation for high-quality care in the Maryland area. They are seeking an experienced Coding Auditor for their Revenue Integrity department, responsible for analyzing billing edits, managing work queues, and leading discussions with stakeholders to improve revenue goals.
Health CareHome Health CareHospitalNon ProfitRehabilitationWellness
Responsibilities
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
Qualification
Required
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
Preferred
RHIA, RHIT
Benefits
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
Paid Time Off
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
Company
Adventist HealthCare
Adventist HealthCare is an integrated, health-care delivery organization.
5001-10000 employees
H1B Sponsorship
Adventist HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (25)
2024 (11)
2023 (6)
2022 (23)
2021 (15)
2020 (12)
Funding
Current Stage
Late StageLeadership Team
Joseph Tucker, CPA
Vice President and Chief Financial Officer
Seleem Choudhury
Chief Operating Officer
Recent News
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