Divisional Coder II

Adventist Health • Altamonte Springs, FL

84d

About The Position

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.

Requirements

• 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.

Nice To Haves

• 1+ year outpatient coding experience preferred for an emergency room and other outpatient coding.
• Two plus years of ambulatory surgery and observation coding.

Responsibilities

• 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.
• 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.
• Codes all diagnoses, treatments and procedures for outpatient records in accordance to departmental policies and procedures.
• Maintains 96% accuracy rate.
• Informs the Coding Management Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.
• Takes responsibility for the unbilled in assigned queue, escalating outstanding holds as instructed and ensures the coding process is completed in a timely manner.
• Completes high quality work in accordance with outlined standards and procedures within defined time frames.
• Works with other Coding team members to keep coding within two days of discharge.
• Participates in department performance improvement reviews and coding reviews.
• Meets and maintains productivity standards.
• 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.

Benefits

• Benefits from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees