All the benefits and perks you need for you and your family:
Benefits from Day One
Paid Days Off from Day One
Student Loan Repayment Program
Whole Person Wellbeing Resources
Mental Health Resources and Support
Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time / Days
The community you’ll be caring for: AdventHealth Sebring
Location Address: 4200 Sun 'n Lake Boulevard Sebring, FL 33872
Top Reasons to Work at AdventHealth Sebring
Faith Based & Mission driven Facility
Largest Employer in the County
Surrounded by beautiful Lakes, Golf Courses and Florida’s oldest State Park
Close knit community with a home town family feel
2 hours to just about any beach on either Coast
Local arts scene from museums and theaters to festivals and galleries
Local restaurants with the authentic taste of Florida
Near 100+ clear, freshwater lakes. Ideal for swimming, boating and fishing
Beautiful agriculture and farmland
Sebring is known for motorsports and home to the famous Sebring International Raceway
Nature and hiking trails
The role you’ll contribute:
Performs inpatient, outpatient and audits related to patient billing in assigned area. Researches and analyzes charges, CPT coding, and national coverage decisions in conjunction with medical charts to ensure compliance with Medicare, Medicaid and other third-party payers as well as to ensure appropriate reimbursement. Advises, educates and acts as clinical/billing liaison between ancillary departments, finance and business office staff. Ensures charge accuracy by reviewing patient charts and corresponding charges for appropriateness. Provide recommendations to ensure compliance; improve procedures, revenue, cash flow, and strengthen controls. Performs follow-up audits when appropriate. Produce and distribute reporting on errors to management and staff as well as provide necessary educational training. Also performs other duties as assigned. All additional duties are completed in an acceptable manner and in a reasonable amount of time . Provide supervision and education to all regional auditors in department.
The value you’ll bring to the team:
Enter charges for routes of administration (ROA) where applicable in a timely manner
Maintain continuing education that will enable the position to perform audits of new and existing revenue areas
Assignments are completed and results documented in the time frame provided.
Educate staff as appropriate to address concerns identified in audit of patient charts/charges
Educate all Regional auditors (Nurse and Clinical Auditors) in Cerner and auditing updates
Supervises Clinical Auditors
Performs monthly accuracy audits of Clinical Auditors work
Function as Clinical/Auditor liaison for OR departments in West Region
Assists management in their development of control procedures/processes/policies, etc., as requested and/or as needed.
Audit findings are documented and reported on a timely basis utilizing Cerner Patient Accounting (CPA) within the computer system.
Identifies problem situations or inadequate conditions and extends training and recommendations to help determine the cause and implement corrective action where appropriate.
Makes cost effective recommendations on the basis of facts on hand.
Modifies scope or approach of the audits or investigations as circumstances dictate
What you will need:.
Five years previous clinical experience required.
Three years inpatient or outpatient chart auditing or related experience required.
A working knowledge of medical terminology, patient care services, and medical record chart documentation (inpatient and outpatient) is required.
Experience using personal computers required.
Specific applications required include Word, Excel, and Email.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.