Risk Adjustment Coding Spec Practice Based

1103 Team Member Services; United States; On-site; USD 30,000 - 56,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403(b) Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Maitland, FL is seeking a Medical Coding Specialist to follow HIPAA protocols, assign ICD-10 codes, and extract data for Health Plan reporting. You will work with educators to ensure coding accuracy and regulatory compliance, while meeting productivity targets in a faith-based health system.

Ideal candidates have CCS or CPC certification, strong interpersonal skills, and solid MS Office knowledge to support documentation and reporting across departments.

Qualifications

• High School Grad or Equiv required.
• CCS or CPC certification required.
• HIPAA/compliance knowledge and willingness to follow guidelines.

Responsibilities

• Follow HIPAA protocol and comply with state and federal guidelines.
• Extract data for Health Plan reports and inputs data collected from HCC programs.
• Assign ICD-10 codes to document and represent patients' conditions accurately.
• Collaborate with coding and documentation educator to clarify documentation and ensure coding reflects illness severity.
• Meet productivity and accuracy metrics as defined by policy.

Skills

Interpersonal communication

MS Office knowledge

Education

High School Grad or Equiv

Tools

MS 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: 2600 LUCIEN WAY City: MAITLAND State: Florida Postal Code: 32751

Job Description: Follow HIPAA protocol and comply with state and federal guidelines. Other duties as assigned. Reviews and accurately translates chronic conditions into appropriate diagnosis codes from outpatient encounters. Extracts data for Health Plan reports and inputs data collected from HCC programs. Assign appropriate ICD-10- codes to document and accurately represent the patient’s conditions and ensure compliance with coding guidelines and regulations. Work closely with coding and documentation educator to clarify documentation and ensure coding reflects the severity of illnesses and chronic conditions. Ensures compliance with coding standards and guidelines. Meet and maintain productivity and accuracy metrics and standards, as defined. Performs concurrent chart review process and perform physician queries for coding and documentation clarification following the query policy and procedure standards.

Knowledge, Skills, and Abilities: High level of interpersonal and communication skills necessary to establish rapport with physicians and other healthcare providers [Required] Basic MS Office (Word, Outlook, Excel and PowerPoint) knowledge [Required]

Education: High School Grad or Equiv [Required]

Licenses and Certifications: Certified Coding Specialist (CCS) [Required] OR Certified Professional Coder (CPC) [Required]

Physical Requirements

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.