Divisional Coder II

All the benefits and perks you need for you and your family:

• Benefits from Day One

• Career Development

• Whole Person Wellbeing Resources

• Mental Health Resources and Support

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.

Shift:   Monday- Friday Fulltime 8:00am-5:00pm

Job Location: Virtual 

The role you will contribute:

The Coder II, under the general supervision of the Outpatient Coding Supervisor, is responsible for assigning codes to ambulatory surgery, observation, wound care, and interventional radiology encounters, as well as outpatient scripts and ED encounters, using ICD-10-CM and CPT codes via the CAC applications. Coder II abstracts relevant data into the patient account and completes the coding process within the Epic system. This role includes reviewing documentation and scripts to ensure medical necessity is met for outpatient ancillary services. Coder II is expected to adhere to the AdventHealth Corporate Compliance Plan and comply with all applicable local, state, and federal regulations, as well as the standards set forth by accrediting bodies.

The value you will bring to the team:

·         Education and Experience Required: 1) High school diploma or equivalent, and successful completion of a medical coding certificate program or a two-year Health Information Management (HIM) program. 2) Minimum of 3 years of experience in emergency room and ancillary coding. 3) Must pass an outpatient coding assessment.

·         Experience Preferred: Two plus years of ambulatory surgery and observation coding.

·         Licensure, Certification or Registration: RHIA or RHIT or CCS or CPC or CPC-P.  One certification is required.

·         Assign ICD-10-CM and CPT codes on chart in accordance with all UHDDS rules, ICD-10 Coding Conventions, CPT Assistant and approved coding policies and procedures.

·         Maintains 96%25 or higher accuracy rate.

·         Consistently meets or exceeds established productivity benchmarks.

·         Adheres to departmental coding policies, official coding guidelines, Coding Clinic recommendations, and all applicable government regulations.

·         Effectively manages time and workload to meet both productivity and accuracy standards.

·         Accurately and efficiently completes coding assignments across multiple facilities within established timeframes.

·         Collaborates with Coding team members to ensure coding is completed within two days of patient discharge.

·         Communicate with various departments to request the addition, removal, or modification of charges, and to clarify discharge dispositions or patient type/status as needed.

·         Communicates coding-related issues that may affect claims processing, coding accuracy, or compliance to the Coding Management Team.

·         Other duties as assigned.

·         Assumes ownership of the discharged not final billed account holds by monitoring the queue holds and ensuring accounts are released in a timely manner.

·         Knowledge and Skills Required:

·         Foundational knowledge of medical coding principles and practices.

·         Familiarity with official coding guidelines, including Coding Clinic guidance and regulatory standards.

·         Proficient computer skills with the ability to learn and navigate Epic and Computer-Assisted Coding (CAC) systems effectively.

·         Comfortable working with Microsoft Office applications, including Word, Excel, Outlook and PowerPoint

·         Ability to accurately review and interpret clinical documentation within the medical record and apply appropriate codes using coding software

·         Surgical/Observation Coding experience preferred! 

The expertise and experiences you’ll need to succeed:

• Basic Coding knowledge 

• Knowledge of specific coding guidelines, and Coding Clinic guidelines

• Must be able to score a minimum of 75%25 on coding test, given during interview process

• Good computer skills with the ability to learn Cerner, Epic, and 3M Encoder 

• Comfortable with all Microsoft Office programs 

• Ability to review documentation in a medical record and to enter into the coding software 

• Demonstrates excellent written and verbal communication skills 

• Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS)

• High School Grad or Equiv 

• Registered Health Information Administrator (RHIA) OR

• Registered Health Information Technician (RHIT) OR

• Certified Coding Specialist (CCS)

Preferred Qualifications:

• 1+ year outpatient coding experience preferred for an emergency room and other outpatient coding