Divisional Coder I Remote

AdventHealth; Florida; Remote; USD 52,000 - 68,000; Full time

Benefits offered by this job

Benefits from Day One

Paid Time Off from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Job summary

AdventHealth Corporate is seeking a Coder Analyst I to code ER and outpatient records using ICD-10-CM and CPT, abstract accounts, and ensure compliance with Medical Necessity requirements. The role involves collaborating with the Coding Management Team to resolve coding issues and maintain accuracy.

The successful candidate will demonstrate foundational coding knowledge, familiarity with guidelines, and proficiency in Cerner and 3M Encoder.

Qualifications

• Foundational knowledge of medical coding principles and practices.
• Familiarity with official coding guidelines and regulatory standards.
• Proficient with EMR and Computer-Assisted Coding (CAC) systems.

Responsibilities

• Assign ICD-10-CM and CPT codes using CAC tools.
• Abstract patient accounts and finalize abstracts in Cerner.
• Review medical necessity in outpatient records.
• Communicate coding issues to Coding Management Team.
• Meet productivity and accuracy standards.

Skills

Medical coding basics

Coding guidelines familiarity

Cerner/CAC systems

MS Office

Documentation review

Education

High school diploma + medical coding program

Tools

Cerner

3M Encoder

Job description

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

• Benefits from Day One
• Paid Time Off 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.Its 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 thattogetherwe are even better.

Schedule :Full Time

The role you'll contribute

The Coder Analyst I, under general supervision of the Outpatient Coding Supervisor is responsible for Assigning codes to ER and Outpatient ancillary medical records, using ICD-10-CM and CPT codes via the 3m Encoder and Dolbey Computer Assisted Coding application. Abstracts the patient's account with the assigned codes and finalizes the abstract in Cerner. Reviews scripts for meeting Medical Necessity in the Outpatient ancillary area. Responsibility to adhere to the AdventHealth Corporate Compliance Plan, to the rules and regulations of all applicable local, state, and federal agencies and to the standards of all accrediting bodies.

The value you'll bring to the team

Communicates coding-related issues that may affect claims processing, coding accuracy, or compliance to the Coding Management Team. Assumes ownership of the discharged not final billed account holds by monitoring the queue holds and ensuring accounts are released in a timely manner.

Knowledge and Skills Required

• 1.Foundational knowledge of medical coding principles and practices.
• 2.Familiarity with official coding guidelines, including Coding Clinic guidance and regulatory standards.
• 3.Proficient computer skills with the ability to learn and navigate the EMR and Computer-Assisted Coding (CAC) systems effectively.
• 4.Comfortable working with Microsoft Office applications, including Word, Excel, Outlook and PowerPoint
• 5.Ability to accurately review and interpret clinical documentation within the medical record and apply appropriate codes using coding software.

Education and Experience Required

• 1) High school diploma or equivalent, and successful completion of a medical coding certificate program or a two-year Health Information Management (HIM) program.

Preferred Experience

2-3 years experience in emergency room and ancillary coding.

Licensure, Certification or Registration

RHIA or RHIT or CCS or CPC or CPC-P.One certification is required.

Other duties as assigned. Communicate with various departments to request the addition, removal, or modification of charges, and to clarify discharge dispositions or patient type / status as needed. Accurately and efficiently completes coding assignments across multiple facilities within established timeframes. Adheres to departmental coding policies, official coding guidelines, Coding Clinic recommendations, and all applicable government regulations. Effectively manages time and workload to meet both productivity and accuracy standards. Collaborates with Coding team members to ensure coding is completed within two days of patient discharge. Consistently meets or exceeds productivity benchmarks. Maintains 96% or higher accuracy. Assign ICD-10-CM and CPT codes on chart in accordance with all UHDDS rules, ICD-10 Coding Conventions, CPT Assistant and approved coding policies and procedures.

Qualifications

The expertise and experiences you'll need to succeed

Knowledge and Skills Required

Technical / Vocational School Required 1 Work Experience Preferred Basic Coding knowledge Knowledge of specific coding guidelines, and Coding Clinic guidelines.Must be able to score a minimum of 75% on coding test, given during interview process Good computer skills with the ability to learn Cerner and 3M Encoder Comfortable with all Microsoft Office programs.Ability to review documentation in a medical record and to enter the coding software.

Education and Experience Required

High School Grad or Equiv Required

Licensure, Certification or Registration Preferred

Registered Health Information Administrator (RHIA) Required or Registered Health Information Technician (RHIT) - Cert Required or Certified Coding Specialist (CCS) Required or Certified Professional Coder (CPC) Required

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 :1 - Day

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..