Outpatient Coder Surgery and Observation

1103 Team Member Services; Orlando (FL); On-site; USD 30,000 - 56,000; Full time

Benefits offered by this job

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

Job summary

AdventHealth in Orlando, FL is seeking a skilled medical coder to assign CPT/HCPCS codes for outpatient, surgical, and observation encounters. You will review clinical documentation for accuracy and apply complex coding guidelines to maintain compliant, efficient claim submissions.

The role requires 2+ years of observation/surgery coding or AdventHealth training, with CCS/RHIA/RHIT/CPC/CIRCC certifications. Strong attention to detail and teamwork are essential for success.

Qualifications

• High School Diploma or equivalent required.
• 2+ years of observation and surgery coding experience or completed AdventHealth training.
• CCS, RHIA, RHIT, CPC and CIRCC certifications required.
• Strong CPT/HCPCS coding knowledge and modifier usage.
• Knowledge of OPPS/APC reimbursement and NCCI edits.

Responsibilities

• Assign CPT/HCPCS codes and modifiers for outpatient surgical, interventional, and observation encounters.
• Review clinical documentation for accurate coding of procedures and services.
• Apply knowledge of modifiers, bundling rules, and reimbursement methodologies.
• Ensure proper coding of multi-component procedures and observation services.
• Maintain productivity and support timely claim submission.
• Apply coding guidelines to ensure compliant practices.
• Identify documentation gaps and seek clarification for accurate representation.
• Support resolution of edits, denials, and billing issues as needed.
• Incorporate audit findings into daily coding practice for continuous improvement.
• Maintain current knowledge of coding updates and organizational standards.

Skills

Advanced CPT/HCPCS coding

OPPS/APC reimbursement knowledge

Complex procedural coding

NCCI edits knowledge

Observation coding understanding

Attention to detail

Productivity & turnaround

Team collaboration

Education

High School Diploma or Equivalent

CCS Certification

RHIA Certification

RHIT Certification

CPC Certification

CIRCC Certification

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.

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]

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 leu 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.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.