Coder Physician Enterprise - Altamonte Springs, United States - AdventHealth

Description

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

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.


Shift :
Monday-Friday


Job Location :

Remote

The role you'll contribute:

AH coders will review physician's documentation and assign the proper CPT, ICD-10, HCPCS codes and modifiers for services rendered in the office and/or hospital setting.

AHS coders also will work on previously coded items and make corrections based on current coding guidelines for charges needing edits, reviews, and denials needing recoding.

The value you'll bring to the team:

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

• Responsible for editing and/or reviewing captured charges and medical documentation to determine appropriate CPT/ICD-10/HCPCS codes and modifiers for E&M and small procedure services rendered in the office and/or hospital setting for physician.
• Responsible for review outpatient and inpatient procedures reports, abstracting appropriate procedure does and entering charges into EMR.
• Responsible for communicating documentation discrepancies with coding support staff and coding supervisor.
• Responsible for creating patient charts and entering demographics and insurance in EMR when applicable.
• Verify data entry of patient's demographics, insurance, and hospital charges are entered correctly.
• Accurately enter and attach insurance and authorizations to patient's encounter in EMR
• Serve as a coding resource and assist with coding questions as needed.
• Assist coding supervisor with escalated coding questions from team members and physician practices.
• Maintain an accuracy rate of 90% or above for all work Quality Assurance reviews.
• Complete assigned work in a timely manager and maintain departmental production standards.
• Maintain open communication with Coding Team and Coding Supervisor.

Qualifications

The expertise and experiences you'll need to succeed:

KNOWLEDGE AND SKILLS REQUIRED:

• Substantial knowledge of CPT, ICD-10, HCPCS, and modifiers for outpatient and inpatient surgical procedures.
• Substantial knowledge of NCCI, MU, MUE edits and bundling guidelines.
• Knowledgeable with Microsoft software.
• Demonstrates excellent written and verbal communication skills.
• Ability to effectively operate equipment such as PC, web/tele-conference.

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KNOWLEDGE AND SKILLS PREFERRED:
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• Current knowledge of E&M and surgical coding.
• Demonstrates excellent written and verbal communication skills
• Ability to explain required documentation needs to physicians and staff via EMR system.

EDUCATION AND EXPERIENCE REQUIRED:

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

_EDUCATION AND EXPERIENCE PREFERRED_
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• Technical program certification in medical coding or Associates Degree in Medical Billing/Coding.

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

At least one of the following coding certifications :

• Certified Professional Coder (CPC) or Certified Professional Coder Apprentice (CPC-A) if less than two years of experience
• Certified Coding Specialist – Physician (CCS-P)
• Certified Coding Associate (CCA)
• Registered Health Information Technician (RHIT)
• Certified Billing and Coding Specialist (CBCS)

_If a qualified candidate previously held a certification listed above but it has since lapsed, if they accepted a position with AdventHealth they would have sixty (60) days to reinstate their certification or the position would be terminated._

FACILITY SPECIFIC SECTION

• Upholds AdventHealth System values
• Maintains confidentiality and demonstrates sensitivity in working with AHS employees.
• Follows Share Principles
• Follows AdventHealth System attendance guidelines
• Demonstrates knowledge of operational policies and procedures
• Performs all duties in accordance to AHS policies and procedures
• Follows Employee Guidelines
• Performs other duties as assigned.

REQUIRED COMPETENCIES
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Communication Skills: Exhibits excellent oral and written communication skills
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Develops Others: Recognizes colleagues' strengths and development opportunities and provides them with ongoing feedback and coaching
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Develops Self: Understands own strengths and development needs, learns from experience, and owns personal development
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Problem Solving: Identifies and solves problems using data collection methods, analysis, experience, and judgment
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Subject Matter Expertise: Possesses deep knowledge and specialized skill set pertaining to the job function
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Teams with Others: Creates an environment that values individual perspectives while driving towards common goals; assists teammates as necessary
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.


Category: Health Information Management


Organization: AdventHealth Corporate


Schedule: Full-time


Shift: - Day


Req ID:

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.