Coding Auditor (Hybrid), Day Shift, Revenue Integrity
Core
Ensures revenue integrity by auditing medical coding, resolving billing edits, and analyzing root causes of charge capture delays to optimize reimbursement.
Role type
Senior Coding Auditor (Revenue Integrity)
Builds
Accurate patient accounts and compliant billing processes for Adventist HealthCare facilities
Domain
Healthcare administration and medical billing
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10, CPT coding, Evaluation and Management Codes, modifiers, 3M Encoder, Denials Management, CMS rules, HIPAA compliance, patient account audits
Preferred skills
RHIA, RHIT, Cerner, eCW
Technologies
3M Encoder, Cerner, eCW, Microsoft Office
Responsibilities
Leads educational sessions with stakeholders to improve revenue goals; analyzes and resolves billing edits and bill holds; manages work queues for coding reviews; performs EHR analyses and root cause analyses on charge capture delays; assesses Present on Admission (POA) indicators; communicates with clinical practices and providers regarding coding impact on reimbursement.
Seniority
Mid-level, independent contributor