Location Address:3100 East Fletcher Avenue Tampa, Florida 33613
Top Reasons to Work at AdventHealth Tampa
Florida Hospital Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
You Will Be Responsible For:
Resolves customer service issues, treating all customers with courtesy. Communicates issues to Supervisor and/or Manager
Demonstrates Core Values of Integrity, Compassion, Balance Excellence, and Teamwork
Efficient utilization of department supplies and resources.
Maintains satisfactory participation and attendance at required meetings and staff development programs
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
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 the Charge Correction Tool 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
High school graduate or equivalent.
Training as Cath Lab Tech
Certification for Coding
Three years’ previous clinical experience required. 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.
Current Licensed/Certified in one of the following:
Coding or intensive charge review/audit
Performs inpatient and outpatient audits related to patient billing in assigned area for Cardiac Cath Lab. 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 . The Clinical Auditor is responsible for a single operational area.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.