Divisional Coder III

AdventHealth; Altamonte Springs (FL); Remote; USD 50,000 - 70,000; Full time

Job summary

AdventHealth is seeking an Inpatient Coder to assign codes to hospital accounts and collaborate with several departments. This role requires knowledge of inpatient coding, related certifications, and experience in healthcare coding. The position emphasizes adherence to coding policies, accuracy, and effective communication with staff.

Benefits

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• 1-3 years of inpatient hospital coding or completion of AdventHealth inpatient training.
• Bachelor’s Degree preferred.
• RHIA, RHIT, CCS, CPC, or CPC-P certification preferred.

Responsibilities

• Assigns codes to hospital inpatient accounts utilizing 3M Encoder.
• Collaborates with various teams to code and release accounts.
• Maintains productivity and accuracy standards.

Skills

Inpatient Coding knowledge

Knowledge of coding guidelines

Proficiency with Cerner

Proficiency with Microsoft Office

Ability to review documentation

Education

High school diploma and medical coding certificate

2-year HIM program

Tools

3M Encoder

Job description

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. 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.

Job Location: Monday-Friday - Remote

The role you’ll contribute:

Assigns codes to hospital inpatient accounts utilizing the 3M Encoder and Dolbey Computer Assisted Coding programs. Collaborates with Case Management, the Billing Office, Coding Manager, Clinical Documentation Improvement specialists, and the coding team to code and release accounts for the Multi-State Division. Resolves chart correction issues daily and works with the team to ensure the Coding Department is within two days of discharge and meeting DNFC goals. Assists in training other team members on inpatient coding as needed.

The value you’ll bring to the team:

1. Adheres to AdventHealth Core Values, displaying integrity, compassion, balance, excellence, stewardship, and teamwork.
2. Occasionally trains others, such as new employees or as a preceptor for those learning new skills.
3. Maintains professional communication with physicians and their office staff.
4. Communicates effectively with the CDI team and other departments regarding discharge dispositions and patient status clarifications.
5. Demonstrates patience, tact, and professionalism when dealing with staff and external influences.
6. Maintains confidentiality of all encountered information.
7. Complies with department coding policies, guidelines, and governmental regulations.
8. Possesses coding knowledge across all specialties for multi-hospital acute care.
9. Codes all diagnoses, treatments, and procedures for inpatient records according to policies and guidelines.
10. Abstracts inpatient charts, verifies CAC codes, and assigns diagnosis and procedure codes following ICD-10, ICD-PCS, and Coding Clinic guidelines.
11. Reviews and verifies diagnostic information supporting assigned codes.
12. Communicates coding issues impacting claims processing, accuracy, and compliance to management.
13. Monitors queue holds, adheres to hold timelines, and releases accounts appropriately.
14. Maintains productivity and accuracy standards as outlined by leadership.
15. Reviews and corrects coding on accounts, maintaining high accuracy and timely completion.
16. Works closely with CDI specialists for complete documentation.
17. Participates in performance improvement and coding reviews.
18. Meets productivity and accuracy standards, including a 96% coding accuracy rate.
19. Provides excellent patient/customer service and problem resolution.
20. Sets priorities and manages time effectively to meet deadlines.
21. Continually improves skills through education and training.
22. Codes all patient types as required.

The above statements describe the principal functions of the job and are not exhaustive. Responsibilities may change. Attendance according to AdventHealth policies is essential.

The expertise and experiences you’ll need to succeed:

KNOWLEDGE AND SKILLS REQUIRED:

• Inpatient Coding knowledge
• Knowledge of coding guidelines and Coding Clinic guidelines
• Proficiency with Cerner, 3M Encoder, and Microsoft Office
• Ability to review documentation and enter data accurately

EDUCATION AND EXPERIENCE REQUIRED:

• High school diploma and medical coding certificate or 2-year HIM program
• 1-3 years of inpatient hospital coding or completion of AdventHealth inpatient training

EDUCATION AND EXPERIENCE PREFERRED:

• Bachelor’s Degree
• 3-5 years of inpatient hospital coding

LICENSURE, CERTIFICATION OR REGISTRATION:

• RHIA, RHIT, CCS, CPC, or CPC-P