Role Description
Multifacility responsibility for ensuring all aspects of coding is carried out accurately and efficiently through chart reviews, problem account resolution, and coding education according to established rules and regulatory guidelines across Orlando Health System.
Responsibilities
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Performs focused review for accuracy of principal and secondary diagnoses, co-morbid conditions and complications, procedure code assignments, and other required abstracted elements according to provider documentation in the medical record for billing compliance, quality reporting, and optimal reimbursement.
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Maintains and achieves the highest standards of coding quality by assigning accurate ICD-10-CM and ICD-10-PCS or CPT-4 codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
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Acts as subject matter expert on coding guidelines and responds promptly to internal and external requests to provide feedback on coding related issues.
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Participates and provides expert feedback during coding section meetings and coding education in services, taking initiative to assist others and share knowledge with appropriate stakeholders.
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Develops and presents educational materials to key stakeholders to support accurate and compliant coding.
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Interacts and communicates effectively with coders, physicians, physician extenders, physician offices, and members of the coding and management team.
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Collaborates with manager and other members of the Revenue Management Team to review all necessary patient records for accurate coding for best practice.
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Identifies trends from review findings and formulates recommendations for corrective action plans and submits to Leaders for Key Performance Indicator (KPI) reporting, process improvement, and education.
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Assists with Discharge Not Final Billed (DNFB) account reviews to ensure timely code completion and accurate billing for multi-hospital accounts.
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Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition.
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Acts as a team leader and support for regional manager.
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Assists with system testing, reporting, data trending, and troubleshooting coding applications.
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Serves as a preceptor to new coders.
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Complies with the Standards of Ethical Coding as set forth by AHIMA, AAPC, and adheres to official guidelines.
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Attends departmental and interdepartmental meetings as required.
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Utilizes resource material available in department to support coding practices.
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Performs other duties as needed.
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Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
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Maintains compliance with all Orlando Health policies and procedures.
Qualifications
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Bachelor degree in Health Information Management required or Associate degree in Health Information Management required or Completion of coding certificate program required.
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Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS required.
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Computer literacy, knowledge of Anatomy, Physiology, and Medical Terminology required.
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Coding skills test of 90% or better required.
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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 required.
Requirements
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CCS-Certified Coding Specialist required or RHIA - Registered Health Information Administrator required or RHIT - Registered Health Information Technician required or CPC - Certified Professional Coder by AAPC required or COC - Certified Outpatient Coder required.
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7 Years of relevant hospital inpatient and/or outpatient coding experience required.
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1 Year of teaching hospital coding experience preferred.
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For Radiation Oncology Liaison Only: 3 Years of Radiation Oncology coding experience in lieu of 7 years teaching hospital experience required.
Benefits
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All Inclusive Benefits (start day one): Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.
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Forbes has named Orlando Health as one of America's Best-In-State Employers for 2024.