Outpatient Surgical & Observation Coder – CPT/HCPCS Expert

1103 Team Member Services

Orlando (FL)

On-site

USD 30,000 - 56,000

Full time

5 days ago
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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

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.

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