What are the responsibilities and job description for the Outpatient Coding Specialist position at AdventHealth Orlando?
Medical Coder / Coding Specialist Outpatient AdventHealth
All the benefits and perks you need for you and your family:
- Paid Parental Leave
- Pet Insurance
- Benefits from Day One
- Student Loan Repayment Program & Debt-free Education
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.
Schedule: Full time
Shift: Monday – Friday (8:00am to 4:30pm)
Location: Remote - Virtual
The role you’ll contribute:
Under the supervision of the Outpatient Coding Operations manager, the Rapid In & Out Coder is responsible for reviewing, analyzing, and interpreting clinical documentation contained in the medical record, applying appropriate ICD-10 and CPT codes conventions and requirements of the Medicare Prospective Payment System. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.
The value you’ll bring to the team:
- Reviews, analyzes, and interprets clinical documentation applying ICD-10-CM and CPT codes in accordance with UHDDS rules, ICD-10 coding conventions, CPT Assistant, requirements of Medicare/ payer specifications, and official coding guidelines as outlined by governing bodies.
- Verifies CAC codes and that the assignment of diagnostic and procedure codes is based on and supported by the physician’s clinical documentation contained within the record.
- Assigns modifiers as appropriate and according to NCCI guidelines.
- Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate, timely clinical documentation.
- Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations.
- Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance.
The expertise and experiences you'll need to succeed:
EDUCATION AND EXPERIENCE REQUIRED:
- Experienced level with at least 3-5 years of CPT coding experience
- RHIA, RHIT, CCS, or CPC certification
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
