Florida Licensed Coding Auditor

Job Summary

To support quality assurance in coding practices, the full-time Florida Licensed Coding Auditor will perform quality reviews on coded records, provide education to coding staff, and assist with appeals for DRG denials, all while working remotely.

Key responsibilities

• Conduct quality reviews on coded records to ensure accuracy and compliance with coding guidelines
• Provide continuing education and support to coding staff regarding coding and reimbursement changes
• Assist in writing appeals for DRG denials, referencing coding guidelines to defend DRG assignments

Required qualifications

• 5+ years of inpatient or outpatient coding or auditing experience
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) certification
• Expansive knowledge of Medicare DRGs, coding guidelines, and reimbursement systems
• Strong understanding of inpatient coding and proficiency with ICD-10-CM and ICD-10-PCS
• Technical/Vocational education in a related field preferred