Physician Enterprise Coder

adventhealth; Orlando (FL); On-site; USD 26,000 - 49,000; Full time

Job summary

AdventHealth in Orlando, FL is seeking a qualified Medical Coder to edit and review charges and medical documentation to determine correct codes and modifiers for services rendered in office and hospital settings.

You will verify data entry, enter demographics and insurance information, and attach authorizations in the EMR while serving as a coding resource for the team. Previous physician-based coding experience and CPC certification are required or equivalent credentials.

Qualifications

• CPT, ICD-10, HCPCS, and modifiers for outpatient and inpatient surgical procedures.
• NCCI, MU, MUE edits and bundling guidelines.
• Microsoft software proficiency.
• Excellent written and verbal communication skills.
• Ability to operate PC and web/tele-conference equipment.
• Knowledge of E&M and surgical coding.
• Ability to explain documentation needs to physicians and staff via EMR.

Responsibilities

• Edit and review charges and medical documentation to determine appropriate codes and modifiers for services rendered in office and hospital settings.
• Review outpatient and inpatient procedure reports and enter charges into electronic medical records.
• Communicate documentation discrepancies with coding staff and supervisor.
• Create patient charts and enter demographics and insurance information into EMR.
• Verify data entry of patient demographics, insurance, and hospital charges for accuracy.
• Enter and attach insurance and authorizations to patient encounters in EMR.
• Serve as a coding resource and assist with coding questions for the team.
• Maintain open communication with the coding team and supervisor.

Skills

CPT coding

ICD-10 coding

HCPCS

Modifiers

Communication

EMR systems

Microsoft Office

Education

High School Diploma

CPC

CPC-A

CCS

CCS-P

CCA

RHIT

CBCS

Tools

EMR system

Microsoft Office

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

900 HOPE WAY

City

ALTAMONTE SPRINGS

State

Florida

Postal Code

32714

Job Description

Edits and reviews captured charges and medical documentation to determine appropriate codes and modifiers for services rendered in office and hospital settings. Reviews outpatient and inpatient procedure reports, abstracts appropriate procedure codes, and enters charges into electronic medical records. Communicates documentation discrepancies with coding support staff and coding supervisor. Creates patient charts and enters demographics and insurance information into electronic medical records when applicable. Verifies data entry of patient demographics, insurance, and hospital charges for accuracy. Accurately enters and attaches insurance and authorizations to patient encounters in electronic medical record. Serves as a coding resource and assists with coding questions as needed. Assists coding supervisor with escalated coding questions from team members and physician practices. Maintains open communication with coding team and coding supervisor. Other duties as assigned.

Knowledge, Skills, and Abilities:

• Substantial knowledge of CPT, ICD-10, HCPCS, and modifiers for outpatient and inpatient surgical procedures. [Required]

• Substantial knowledge of NCCI, MU, MUE edits and bundling guidelines. [Required]

• Knowledgeable with Microsoft software. [Required]

• Demonstrates excellent written and verbal communication skills. [Required]

• Ability to effectively operate equipment such as PC, web/tele-conference. [Required]

• Current knowledge of E&M and surgical coding. [Preferred]

• Demonstrates excellent written and verbal communication skills. [Preferred]

• Ability to explain required documentation needs to physicians and staff via EMR system. [Preferred]

Education

• High School Grad or Equiv [Required]

Work Experience

• 2+ years of experience in physician based coding for both e&m (outpatient/inpatient) and surgical procedures [Required]

Licenses and Certifications:

• Certified Professional Coder (CPC) [Required] OR
• Certified Professional Coder Apprentice (CPC-A) [Required] OR
• Certified Coding Specialist (CCS)[Required]OR
• Certified Coding Specialist – Physician-based (CCS-P) [Required] OR
• Certified Coding Associate (CCA) [Required] OR
• Registered Health Information Technician (RHIT) [Required] OR
• Certified Billing and Coding Specialist (CBCS) [Required]

Physical Requirements

(Please click the link below to view work requirements)

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

Pay Range

$19.22 - $35.75

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.