Divisional Coder II - Remote

AdventHealth; Altamonte Springs (FL); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a skilled Coder II to join their team. In this pivotal role, you will be responsible for assigning accurate codes for various medical encounters, ensuring compliance with coding regulations, and contributing to the overall efficiency of the billing process. This position offers the opportunity to work remotely while being part of a community that values the well-being and growth of its members. With a focus on teamwork and professional development, you will thrive in an environment that encourages collaboration and supports your career aspirations. If you're passionate about coding and looking for a fulfilling role, this is the perfect opportunity for you.

Benefits

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• Requires coding knowledge of all specialties for multi-hospital coding.
• Two to three years of emergency room and ancillary coding experience.

Responsibilities

• Assigns codes to various medical encounters using ICD-10-CM and CPT codes.
• Maintains a 96% accuracy rate in coding tasks.

Skills

ICD-10-CM Coding

CPT Coding

Ambulatory Surgery Coding

Observation Coding

Attention to Detail

Teamwork

Education

High School Diploma

Medical Coding Certificate

2-Year HIM Program

Tools

3M Encoder

Dolbey CAC

Epic

Job description

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

1. Benefits from Day One
2. Career Development
3. Whole Person Wellbeing Resources
4. 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: Full-time; SUN-WED 10 hr shift

Job Location: Remote

The role you will contribute:

The Coder II, under general supervision of the Regional Coding Manager is responsible for assigning codes to ambulatory surgery, observation, wound care, and interventional radiology encounters in addition to outpatient scripts and ED encounters using ICD-10-CM and CPT codes via the 3m Encoder and Dolbey CAC applications. Abstracts the patient’s account with the assigned codes and finalizes the abstract in Epic. 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 will bring to the team:

1. Encourages teamwork by working collaboratively with team members inside and outside of the department to ensure timely coding and billing of accounts.
2. May train others, as in orientation of new employees or acting as a preceptor for workers learning new skills.
3. Communicates to various departments when charges need added, deleted, or changed and when discharge dispositions and patient type/status needs clarified.
4. Professional demeanor, patience, and tact required in dealing with all staff within the department, the facility, and outside influences.
5. Requires maintenance of confidential information encountered in every task associated with this job.
6. Requires compliance with department Coding Policy and Procedure manual and Coding Clinic guidelines, as well as, any governmental coding regulations.
7. Requires coding knowledge of all specialties required at this level for multi-hospital coding.
8. Codes all diagnoses, treatments and procedures for outpatient records in accordance to departmental policies and procedures.
9. 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.
10. Maintains 96% accuracy rate.
11. Assigns modifiers as appropriate and according to NCCI guidelines.
12. Reviews assigned charges in the charge viewer to verify what is ordered and what procedures are carried out.
13. Informs the Coding Management Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.
14. Takes responsibility for the unbilled in assigned queue, escalating outstanding holds as instructed and ensures the coding process is completed in a timely manner.
15. Reviews and requests charge corrections on surgical accounts, makes changes as appropriate.
16. Demonstrates attention to detail, thoroughness, and accuracy in daily work.
17. Completes high quality work in accordance with outlined standards and procedures within defined time frames.
18. Assumes responsibility to maintain knowledge and compliance with all current hospital and departmental policies.

The expertise and experiences you’ll need to succeed:

1. High school diploma and successfully completed a medical coding certificate program or 2 year HIM program.
2. Two to three years emergency room and ancillary coding.
3. One plus years of Ambulatory surgery or observation coding or completion of AdventHealth surgery and observation training.

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

1. Certified Coding Specialist
2. Certified Professional Coder
3. Certified Professional Coder Payer
4. Registered Health Information Administrator
5. Registered Health Information Technician

Preferred Qualifications:

1. Two plus years of ambulatory surgery and observation coding.