Divisional Coder II Remote

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:  Sunday - Wednesday (VIRTUAL) 

Job Location: AltamonteSprings

The role you will contribute:

The Coder II, under general supervision of the Regional Coding Manager is responsible for assigning codes to ambulatory surgery, observation, wound care, and interventional radiology encounters in addition to outpatient scripts and ED encounters using ICD-10-CM and CPT codes via the 3m Encoder and Dolbey CAC applications. Abstracts the patient's account with the assigned codes and finalizes the abstract in Epic. Reviews scripts for meeting Medical Necessity in the Outpatient ancillary area. Responsibility to adhere to the AdventHealth Corporate Compliance Plan, to the rules and regulations of all applicable local, state, and federal agencies and to the standards of all accrediting bodies.

The value you will bring to the team:

• Encourages teamwork by working collaboratively with team members inside and outside of the department to ensure timely coding and billing of accounts.

• May train others, as in orientation of new employees or acting as a preceptor for workers learning new skills

• Communicates to various departments when charges need added, deleted, or changed and when discharge dispositions and patient type/status needs clarified

• Professional demeanor, patience, and tact required in dealing with all staff within the department, the facility, and outside influences

• Requires maintenance of confidential information encountered in every task associated with this job

• Requires compliance with department Coding Policy and Procedure manual and Coding Clinic guidelines, as well as, any governmental coding regulations

• Requires coding knowledge of all specialties required at this level for multi-hospital coding

• Codes all diagnoses, treatments and procedures for outpatient records in accordance to departmental policies and procedures a. 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. b. Maintains 96%25 accuracy rate. c. Assigns modifiers as appropriate and according to NCCI guidelines d. Reviews assigned charges in the charge viewer to verify what is ordered and what procedures are carried out e. Informs the Coding Management Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance f. Takes responsibility for the unbilled in assigned queue, escalating outstanding holds as instructed and ensures the coding process is completed in a timely manner g. Reviews and requests charge corrections on surgical accounts, makes changes as appropriate

• Demonstrates attention to detail, thoroughness, and accuracy in daily work

• Completes high quality work in accordance with outlined standards and procedures within defined time frames

• Assumes responsibility to maintain knowledge and compliance with all current hospital and departmental policies.

• Reviews the encounter for discharge disposition and assigns the operative physician and date of procedure to the chart-coding screen

• Works with other Coding team members to keep coding within two days of discharge.

• Completes coding for multiple facilities in a timely manner

• Works with other Coding team members to maintain hospital coding days to less than 3 days.

• Works with other coding team members to maintain a median coding turn-around time of 3 days or less.

• Participates in department performance improvement reviews and coding reviews

• Meets and maintains productivity standards

• Meets and maintains a 96%25 or better in coding accuracy

• Successfully meets requirements to code all patient types required at this level

• Manage your own time to ensure you are meeting productivity and accuracy requirements.

• Establishes and maintains courteous, tactful, and professional level of interpersonal skills necessary to deal effectively with patients, guests, medical staff, the public, co-workers, and external business associates.

• Demonstrates effective communication skills; can report and convey required information either verbally or in writing; maintains required level of confidentiality; consults with and/or advises appropriate personnel of situations requiring follow-up or attention.

• Conforms to all Adventist Health Systems organizational and departmental policies and procedures including but not limited to: a. Missions b. Values c. Employee covenant d. Corporate compliance e. Rules of conduct as outlined in the “Guidelines for Employees” handbook. f. Smoking g. Dress code

• Establishes and maintains a history of regular attendance; makes appropriate use of PDO and observes department call-in procedures for absence; establishes and maintains punctual work habits. Exhibits timely arrival and departure and dependable time habits including meal and other breaks.

• Supports departmental and organizational Mission through: a. Appropriate use of resources b. Helping team members c. Accepting work or schedule assignments d. Participating in process and performance improvement as required

The expertise and experiences you’ll need to succeed:

• High School Diploma or Equivalent [Required]

• Successfully completed a medical coding certificate program or 2 year HIM program. [Required]

• 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)
• Minimum of 3 years of experience in emergency room and ancillary coding.
• Must pass an outpatient coding assessment.

• Basic Coding knowledge

• Knowledge of specific coding guidelines, and Coding Clinic guidelines.

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

• Comfortable with all Microsoft Office programs.

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

• Licenses and Certifications:  Registered Health Information Administrator (RHIA)  OR Registered Health Information Technician (RHIT) OR Certified Coding Specialist (CCS) [Required]

Preferred Qualifications:

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

• Two plus years of ambulatory surgery and observation coding