[Hiring] Senior Hospital Coding Specialist @Orlando Health

Role Description

This Sr Hospital Coding Specialist will facilitate improvement in medical record documentation for purposes of coding, billing and compliance.

Responsibilities

• Communicates cooperatively and constructively with physicians, physicians’ office personnel, guests, patients and members of the healthcare team.
• Demonstrates strong verbal and written communication skills.
• Works independently to coordinate information and workflow of corporate functional area.
• Interacts with coding and other teams to ensure completion of corporate and departmental goals.
• Accurately and optimally reviews and codes diagnoses and procedures from electronic medical records using ICD-9-CM, ICD-10-CM/PCS, and/or CPT-4 coding classification systems and the encoder, CAC, and other apps as instructed.
• Properly sequences diagnoses and procedures according to UHDDS definitions for 837i billing.
• Participates in the biannual quality audit and maintains 95% or better accuracy.
• Accurately abstracts information into the hospital information system(s).
• Demonstrates an understanding of all coding updates and changes in coding guidelines and provides expertise for team.
• Assists the coding management team in medical record reviews for third party audits, denied claims, medical necessity, pre-bill reviews, focused audits, etc.
• Works with Patient Accounting and ancillary areas to assure appropriate and timely billing on all accounts.
• Collects and provides data for statistical reports to coding management team as required.
• Completes concurrent reviews for purposes of documentation enhancement, interim billing, etc.
• Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills.
• Tracks/trends opportunities for physician education.
• 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.

Qualifications

• Associate degree in Health Information Management; or completion of American Health Information Management Association's Independent Study program (AHIMA).
• Computer literacy required.
• Score of 85% or better on Orlando Health coding skills test.

Requirements

• Must maintain one of the following:
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
  • Coding Associate (CCA) by the American Information Management Association (AHIMA) – renewed every 2 years.
  • Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) – renewed every 2 years.
• Two (2) years previous hospital coding experience required.
• Thorough knowledge of both ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding classification systems required.