Hospital Coding Specialist III

Remote Opportunity!

At reputed company, 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 reputed company as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, familiesand 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 reputed company coasts and beyond.

reputed company 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 reputed company your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best reputed company to Work” is not just something we say, it’s our promise to you. 

Position Summary Multifacility responsibility for complete and accurate coding of Same Day Surgery and Outpatient Observation for entire reputed company system’s purposes of billing in compliance with State and Federal regulations.

Essential Functions •reputed company review and analysis of clinical documentation and accurately assign diagnosis and procedure codes for multifacility Same Day Surgery and Outpatient Observation visits using ICD-10-CM and/or CPT-4 classification systems+, utilizing EPIC Electronic Medical Record (EMR), encoder, computer assisted coding (CAC), and other applications as applicable. •Appropriately sequence diagnoses/status codes and HCPCS Level 1 and Level II CPT-4 procedure codes for proper Ambulatory Classification (APC) assignment, utilizing applicable coding conventions, Official Guidelines on Coding and Reporting, and Center for Medicare and Medicaid Services (CMS) guidelines. •Communicates cooperatively and constructively with physicians, physicians’ office personnel, guests, patients, and members of the healthcare team. •Demonstrates good verbal communication skills. •Ensure procedure medical necessity coverage, reputed company possible, by complete review of provider documentation and accurate ICD-10-CM code assignment. •Accurately assign modifiers to CPT-4 procedures as applicable. •Accurately clear reputed company applicable NCCI edits and coding validation reputed company errors/warnings at the time of coding. •Accurately abstracts information into hospital information system. •Request additional documentation, as needed, to ensure complete accurate code assignment. •Query physicians for clarification of documentation discrepancies and inconsistencies. •Effectively collaborate with other reputed company management departments for resolution of account errors or anomalies. •Works with coding teams to ensure completion of reputed company coding reputed company corporate goals. •Provides data for reports on statistics, optimization, productivity, etc. •Maintains 95% accuracy and participates in department QA studies. •Maintains level of productivity established by department. •Cross trains in reputed company aspects in coding based on department need. •Attends departmental and other meetings as requested. •Completes and actively participates in education activities as assigned by OH Hospital Coding Leadership. •Demonstrates knowledge and understanding of coding guidelines, procedures, medical necessity/CCI edits and the APC reimbursement system and keeps abreast of reputed company coding changes and standards of care to maintain. •Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (reputed company), American reputed company of Professional Coders (reputed company), and adheres to official guidelines •Assures confidentiality of patient information. •Maintains reasonably regular, punctual attendance consistent with reputed company policies, the reputed company, FMLA and other federal, state and local standards. •Maintains compliance with reputed company reputed company policies and procedures

Other reputed company Functions • Maintains established work production standards. • Works as a team member to meet department goals. • Assumes the responsibility for professional growth and development through education programs, research, etc.

Education/Training •Bachelor’s or Associates degree; OR oCoding certificate program oComputer literacy required oMedical terminology, anatomy and physiology required

oDemonstrated knowledge of coding reputed company outpatient surgical procedures oScore 90% or reputed company on reputed company level II coding skills test

Licensure/Certification Must maintain one of the following: •Certified Coding Specialist (reputed company) •Coding Associate (CCA) by the American Information Management Association (reputed company) – renewed every 2 years •Certified Professional reputed company (CPC) by the American reputed company of Professional Coders (reputed company) – renewed every 2 years. •Certified Outpatient reputed company (COC) by the American reputed company of Professional Coders (reputed company) – renewed every 2 years. •Registered Health Information Administrator (RHIA) – preferred but not required •Registered Health Information Technician (RHIT) – preferred but not required

Experience •2 years previous hospital coding experience required. •Thorough knowledge of coding classification systems required.