Physician Coding Ed Specialist- St Pete

Orlando Health; Orlando (FL); Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Free education programs

Well-being services

Benefits on day one

Job summary

Orlando Health in Florida is hiring a Physician Coding Education Specialist for a hybrid role with remote 90% and on-site 10% responsibilities. The role focuses on auditing, education, and improving physician coding accuracy across service lines, with a daily schedule Monday–Friday and flexible hours as needed.

The organization emphasizes a large network of hospitals and outpatient facilities, comprehensive benefits from day one, and ongoing education and well-being services to support staff and

Responsibilities

• Responsible for internal auditing and analyzing professional coding for all service lines.
• Monitor the audit results closely to identify any potential coding inaccuracy.
• Provides the Department/Practice the needed support in identifying coding errors.
• Works with the practice to ensure services are captured accordingly.
• Provides additional education to practices/providers/coders as needed and requested.
• Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines.
• Review medical records to ensure accuracy of code assignment.
• Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.
• Identify and communicate physician documentation and coding opportunities for improvement.
• Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.
• Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office.
• Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts.
• Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement.
• Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress.
• Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process.
• Conducts focused physician reviews as needed and provides data to manager.
• Maintains 90% physician coding accuracy rate.
• Attends payor, departmental and interdepartmentalmeetings asrequired.
• Prepares/distributes information summarizing opportunities with physician coding monthly.

Skills

Medical coding

Internal auditing

Education training

Healthcare compliance

Physician coding

Job description

• This opportunity is a hybrid role requiring occasional on-site presence and residency in the St. Pete, FL area***

Position Summary

• This opportunity is a hybrid role requiring occasional on-site presence and residency in the St. Pete, FL area***

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 have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities 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.

Performs, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities.

• Location: Hybrid, Remote 90% & On-site 10%
• Status: Full Time (exempt)
• Days: Monday through Friday
• Shift: Day (flextime plan with the possibility of occasional early morning/evening hours)
• This opportunity is a hybrid role requiring occasional on-site presence and residency in the St. Pete, FL area***

Responsibilities

Essential Functions

• Responsible for internal auditing and analyzing professional coding for all service lines.
• Monitor the audit results closely to identify any potential coding inaccuracy
• Providesthe Department/Practice the needed support in identifying coding errors
• Works with the practice to ensure services are captured accordingly.
• Provides additional education to practices/providers/coders as needed and requested.

• Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines

• Review medical recordsto ensure accuracy of code assignment.
• Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.
• Identify and communicate physician documentation and coding opportunitiesforimprovement
• Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.
• Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office.
• Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts.
• Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement.
• Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress.
• Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process.
• Conducts focused physician reviews as needed and provides data to manager.
• Maintains 90% physician coding accuracy rate.
• Attends payor, departmental and interdepartmentalmeetings asrequired.
• Prepares/distributes information summarizing opportunities with physician coding monthly.