Job Information

AdventHealth PE Auditor Virtual in Altamonte Springs, Florida


Location Address: Virtual

Top Reasons To Work At AdventHealth Corporate

  • Great benefits

  • Immediate Health Insurance Coverage

  • Career growth and advancement potential

Work Hours/Shift:

  • Full-Time, Monday – Friday

You Will Be Responsible For:

  • Interprets and reviews medical record documentation to make sure the accurate ICD-10, CPT, HCPCS and assigned based on provider documentation.

  • Expertise in auditing using both the 1995 and 1997 E/M CMS Guidelines

  • Provides education to providers, practice staff, and coders as needed based on audit results.

  • Demonstrates knowledge of sequencing diagnoses and procedures as outlined in the Official Coding Guidelines, CPT, HCPCS Level II and CMS guidelines.

  • Demonstrate expert job knowledge and applies current coding and billing regulations, policies, processes, and procedures with effective decision-making and problem solving skills.

  • Maintains an accuracy rate of 90% or above for all work Quality Assurance reviews.

  • Complete assigned work in a timely manner and maintain departmental production standards.

  • Maintain open communication with Auditing Team and Auditing Supervisor.

  • Critical thinking and problem solving skills are essential along with the ability to work independently, remotely and with minimal supervision. Must be self-motivated and able to use electronic resources.

  • Other duties as assigned.


What You Will Need:

  • High School Diploma or equivalent required.

  • 3 or more years of experience in physician based coding for both E&M (outpatient/inpatient) and surgical procedures.

  • At least one year of certified auditing experience.


At least one of the following coding certifications :

  • Certified Professional Coder (CPC)

  • Certified Coding Specialist – Physician (CCS-P)

  • Certified Professional Medical Auditor (CPMA)


  • Knowledge of ICD-10, CPT, and HCPCS coding, along with modifiers for outpatient and inpatient procedures.

  • Expertise in auditing using both the 1995 and 1997 E/M CMS Guidelines

  • Knowledge of NCCI, MU, MUE edits and bundling guidelines.

  • Demonstrates excellent written and verbal communication skills.

  • Knowledgeable with Microsoft software.

  • Ability to effectively operate equipment such as PC, web and/or teleconference.

Job Summary:

The Physician Enterprise Auditor is responsible for reviewing medical record documentation making sure that the CPT, ICD-10 and HCPCS codes and modifiers are correct for the selected claims. The Auditor will follow AHS policy and procedure for annual audit schedules for both physicians and practices. The Auditor is responsible for completing professional reports of their findings and delivering those results to physicians and leadership

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Physician Services

Organization: AdventHealth Corporate

Schedule: Full-time

Shift: 1 - Day

Travel: AdventHealth

Req ID: 21044004

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.