Schedule: Full time
Shift: Day (United States of America)
Address: 900 HOPE WAY
City: ALTAMONTE SPRINGS
State: Florida
Postal Code: 32714
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:$29.21 - $54.33
