Divisional Coder II - Remote

Lensa; Altamonte Springs (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A prominent healthcare organization in Florida seeks a Coder II for remote work. In this role, you will apply your coding expertise in ambulatory surgery and outpatient settings, ensuring compliance and accuracy within the healthcare system. Joining this team means contributing to meaningful patient care and benefiting from comprehensive personal development programs.

Benefits

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• Two plus years in emergency room and ancillary coding.
• Required: Certified Coding Specialist or similar certifications.
• Experience in ambulatory surgery or observation coding preferred.

Responsibilities

• Assign codes for ambulatory surgery, observation, and ED encounters.
• Review scripts for Medical Necessity.
• Maintain coding accuracy and compliance with guidelines.

Skills

Attention to detail

Teamwork

Communication

Education

High school diploma

Medical coding certificate

Tools

ICD-10-CM

CPT

3m Encoder

Epic

Job description

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Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for AdventHealth.

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 : 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

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

ii. Completes high quality work in accordance with outlined standards and procedures within defined time frames

iii. Assumes responsibility to maintain knowledge and compliance with all current hospital and departmental policies.

The Expertise And Experiences You’ll Need To Succeed

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

Licensure, Certification Or Registration Required

• Certified Coding Specialist
• Certified Professional Coder
• Certified Professional Coder Payer
• Registered Health Information Administrator
• Registered Health Information Technician
  
  

Preferred Qualifications

• Two plus years of ambulatory surgery and observation coding
  
  

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

Req ID: 25014542

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.

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Engineering and Information Technology

• Industries

  IT Services and IT Consulting

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