Outpatient Coder Surgery and Observation

AdventHealth; Orlando (FL); On-site; USD 29,000 - 55,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

PTO from Day One

403-B Retirement Plan

Parental Leave

Job summary

AdventHealth is seeking a skilled Medical Coder to assign CPT/HCPCS codes for outpatient surgeries, interventional and observation encounters. You will review clinical notes to ensure accurate coding while applying NCCI edits and bundling rules to support compliant submissions.

The role requires strong knowledge of OPPS/APC guidelines, complex procedural coding, and documentation interpretation, with attention to detail and timely delivery in a fast-paced setting.

Qualifications

• Advanced CPT/HCPCS knowledge and modifier usage.
• Strong understanding of OPPS/APC rules.
• Expertise in complex procedural coding and documentation.
• Knowledge of NCCI edits and bundling rules.
• Ability to code moderate to high complexity encounters.
• Observation coding requirements knowledge.
• Attention to detail and analytical skills.
• Ability to meet productivity timelines.

Responsibilities

• Assign CPT/HCPCS codes and modifiers for outpatient surgical, interventional, and observation encounters.
• Review clinical documentation for accuracy and completeness of codes.
• Apply NCCI edits and bundling rules (OPPS/APC).
• Ensure proper coding of multi-component procedures and observation services.
• Maintain productivity and turnaround time to support DNFB goals.
• Follow coding guidelines and regulatory standards.

Skills

CPT/HCPCS coding

Modifier usage

OPPS/APC reimbursement

NCCI edits

Observation coding

Documentation interpretation

Productivity targets

KPIs awareness

Communication

Attention to detail

Education

High School Grad or Equiv

Job description

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.

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

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

601 E Rollins St

City:

Orlando

State:

Florida

Postal Code:

32803

Job Description:

• Assigns CPT/HCPCS codes and modifiers for outpatient surgical, interventional, and observation encounters
• Reviews clinical documentation to ensure accurate and complete coding or procedures, services, and observation stays
• Applies knowledge of modifier usage, bundling rules (NCCI edits), and OPPS/APC reimbursement methodologies
• Ensures appropriate coding of multi‑component procedures and observation services
• Maintains productivity and turnaround time standards to support DNFB reduction and timely claim submission
• Applies coding guidelines and regulatory standards to ensure compliant coding practices
• Identifies documentation gaps and seeks clarification to ensure accurate representation of services provided
• Supports resolution of coding related edits, denials, and billing issues as needed
• Incorporates audit findings and education into daily coding practice to ensure consistency and continuous improvement
• Maintain current knowledge of coding updates, regulatory changes and organizational standards
• Performs other duties as assigned

Knowledge, Skills, and Abilities:

• Advanced knowledge of CPT/HCPCS coding and modifier usage [Required]
• Strong understanding of OPPS/APC reimbursement and outpatient coding guidelines [Required]
• Expertise in complex procedural coding and documentation interpretation [Required]
• Strong knowledge of NCCI edits and bundling rules [Required]
• Ability to code moderate to high‑complexity procedural encounters [Required]
• Understanding of observation coding and documentation requirements [Required]
• Strong attention to detail and analytical skills [Required]
• Ability to meet productivity and turnaround time expectations [Required]
• Understand the role coders play in meeting team KPIs [Required]
• Effective communication and collaboration skills [Required]

Education:

• High School Grad or Equiv [Required]

Field of Study:

• N/A

Work Experience:

• 2+ years of observation and surgery coding [Required] or must successfully complete AdventHealth’s surgery and observation training [Required]

Additional Information:

• AdventHealth inpatient surgical coding training program completion may be considered in lieu of work experience

Licenses and Certifications:

• Certified Coding Specialist (CCS) [Required] OR Registered Health Information Administrator (RHIA) [Required] OR Registered Health Information Technician (RHIT) [Required] OR Certified Professional Coder (CPC) [Required] OR Certified Interventional Radiology Cardiovascular Coder (CIRCC) [Required]

Physical Requirements:

(Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$21.95 - $40.82

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti‑discrimination laws, regulations and ordinances.