***MUST RESIDE IN FL, GA, TX, NC, AL, OR AZ***
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healingand hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families
and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando
Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.
***MUST RESIDE IN FL, GA, TX, NC, AL, OR AZ***
Position Summary: Responsible for performing, developing, and implementing hospital coding services to ensure the diagnostic and procedure codes are assigned accurately to inpatient and outpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
***MUST RESIDE IN FL, GA, TX, NC, AL, OR AZ***
Essential Functions:
Interacts and communicates effectively with coders, physicians, physician extenders, physician offices and members of the coding and management team
Collaborates with manager and other members of the Revenue Management Team to review all necessary patient records for accurate coding for best practice
Review and audit medical records to ensure quality of work and specificity of diagnoses and procedures to ensure appropriate and optical reimbursement
Responds promptly to internal and external requests to provide feedback on coding related issues.
Participates and provides good feedback during coding section meetings and coding education in services as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.
Maintains and achieves the highest standards of coding quality by assigning accurate/ICD-10-CM/ICD-10-PCS codes utilizing an electronic encoder application in accordance with hospital policy and regulatory
body guidelines.
Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition, to achieve the highest quality of entered data.
Reviews medical record documentation and abstracts data into Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions, and procedures. Utilizes all tools/ resources for accuracy.
Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and adheres to official guidelines.
Collaborates with Clinical Document Excellence (CDE), Quality Management and other departments to determine appropriate DRG assignment for compliance and reimbursement purposes
Attends departmental and interdepartmental meetings as required
Utilizes resource material available in department to support coding practices
Assist in coding in any Inpatient and/or Outpatient cases as needed
Takes an active role in developing and presenting educational materials to different stake holders
Serves as a preceptor to new coders
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards
Maintains compliance with all Orlando Health policies and procedures
Other Related Functions:
Develops and updates internal departmental processes
Assumes the responsibility for professional growth and development through educational programs, research, etc.
Maintains certification status
Performs other related duties as assigned
Maintains 95% or above accuracy rate
Education/Training:
Completion of coding certificate program or Associate’s or bachelor’s degree in Health Information Management
Computer literacy, knowledge of Anatomy, Physiology and Medical Terminology required
Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS.
Coding skills test of 90% or better
Advanced level knowledge of anatomy, physiology, pathophysiology, pharmacology, and medical terminology to accurately translate medical record documentation into the appropriate classification system for reporting Purposes
Licensure/Certification:
One of the following national certifications:
Certified Professional Coder (CPC) through the American Academy of Professional Coders
Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information
Technician (RHIT) through AHIMA
Experience:
Four (4) years of relevant hospital inpatient and/or outpatient coding experience.
Inpatient Liaison – Hospital inpatient.
- Advanced level of knowledge of sequencing guidelines for the sequencing of diagnosis and procedure codes for
appropriate classification systems with knowledge of ICD-10, ICD-10 PCS, MS-DRG and APR-DRG.
- Level one (1) Trauma hospital experience (Preferred)
Outpatient Liaison – Hospital outpatient.
- Advanced level of knowledge of experience with ICD-10 and CPT coding in the radiation oncology field is required.
Radiation Oncology Liaison – Hospital and Outpatient
- Advanced level of knowledge of experience with ICD-10 and CPT coding in the radiation oncology field is required.
- The Radiation Oncology Coder is responsible for ensuring all services rendered are captured timely, coded accurately, and meet
documentation requirements when processed through the EMR and Billing Systems.
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