Physician Coder (I, II, & Sr)

Florida Medical Clinic Orlando Health; Orlando (FL); On-site; USD 50,000 - 80,000; Full time

Job summary

A leading healthcare organization seeks a Physician Coder (I, II, & Sr) to manage the coding and billing of physician services. The role involves working with ICD-10, CPT, and HCPCS coding systems, requiring accuracy and effective communication. Candidates will be evaluated based on experience and must obtain relevant certifications. Joining this team means contributing to a legacy of compassionate care while receiving exceptional benefits and professional development opportunities.

Benefits

Flexible work options

Career growth educational programs

Comprehensive benefits from day one

Qualifications

• Coding experience in professional/physician practice coding is required.
• Proficient in multi-specialty E/M coding is preferred.
• Certification as CPC, CCS, or similar is required.

Responsibilities

• Reviews medical records to accurately code and bill physician services.
• Collaborates with healthcare providers to verify billable services.
• Maintains coding accuracy and compliance with health regulations.

Skills

ICD-10

CPT

HCPCS

communication skills

Education

High school diploma or equivalent

Job description

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MUST LIVE IN APPROVED STATE TO BE CONSIDERED AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA.

Position Summary

This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position.

Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.

MUST LIVE IN APPROVED STATE TO BE CONSIDERED AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA.

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted

and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.

Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

MUST LIVE IN APPROVED STATE TO BE CONSIDERED AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA.

Essential Functions for Coder I and Coder II

• Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
• Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels).
• Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government.
• Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up.
• Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals.
• Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials)
• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
• Utilizes resource material available in department to support accurate coding practices.
• Maintains patient confidentiality.
• Demonstrates good communication skills both verbal and written.
• Maintains 90% accuracy rate.
• Attends departmental and other meetings as scheduled.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
  
  
  

Other Related Functions

• Participates in meeting department goals.
• Maintains productivity standards as designated by management.
• Assumes responsibility for own professional growth and development through educational programs, research, etc.
• Maintains certification status.
• Performs other related duties as assigned.
  
  
  

Essential Functions for Sr. Coder

• Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
• Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels)
• Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government.
• Submits to their direct management any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up.
• Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals.
• Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials).
• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
• Utilizes resource material available in department to support accurate coding practices.
• Maintains patient confidentiality.
• Demonstrates good communication skills both verbal and written.
• Maintains 90% accuracy rate.
• Attends departmental and other meetings as scheduled.
• Provides data for production reports.
• Serves as mentor to Physician Coders I and Physician Coders II
• Serves as Management support.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
  
  
  

Other Related Functions

• Participates in meeting department goals.
• Maintains productivity standards as designated by management.
• Assumes responsibility for own professional growth and development through educational programs, research, etc.
• Maintains certification status.
• Performs other related duties as assigned.
  
  
  

Education/Training

• High school diploma or equivalent.
• Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required.
• Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better.
  
  
  

Licensure/Certification

One of the following national certifications

• Certified Professional Coder (CPC) through the American Academy of Professional Coders.
• Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
• Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA).
• Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA).
• Certified Medical Coder (CMC) through Practice Management Institute.
  
  
  

Physician Coder I Required Experience

• Minimum of one (1) year coding experience in professional/physician practice coding.
• Proficient in multi-specialty E/M coding is preferred
  
  
  

Physician Coder II Required Experience

• Three (3) years certified coding experience in professional or physician practice coding.
• Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred
• Knowledge of surgical coding is desired
  
  
  

Sr. Physician Coder Required Experience

• Five (5) years certified coding experience in professional or physician practice coding.
• Proficiency in multi-specialty E/M coding is required
• Proficiency in multi-specialty minor bedside procedures is required
• Proficiency in (1) specialty surgical coding is required, and multi specialty surgical coding is desired

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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