Coder

Coder II

Coding Specialist

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

• Benefits from Day One

• Paid Days Off from Day One

• Student Loan Repayment Program

• 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.

Schedule: Full Time

Shift: Flexible, 8 hours shifts

Location: AdventHealth Daytona, REMOTE

100% REMOTE

301 Memorial Medical Parkway Daytona Beach, FL 32117

The role you’ll contribute:

Performs a thorough review, assessment and analysis of the emergency room and wound care medical record documentation applying the appropriate ICD-9 and/or ICD 10 diagnoses and procedures codes, CPT procedure codes and modifiers for billing and classification.

The value you’ll bring to the team:

• Performs review functions associated with accurate code assignment on emergency room and wound care patient accounts.

• Assigns diagnosis and procedure codes following ICD-9 and 10 Official Coding Guidelines for diagnoses and procedures, CMS, CPT, Coding Clinic guidelines, various other governing bodies and Department coding policies and procedures.

• Interprets and reviews medical record documentation to assign accurate diagnoses and procedure codes for hospital emergency room accounts according to the supporting physician documentation in the record.

• Assigns correct ASC/APC modifiers to ensure appropriate reimbursement and assigns the correct revenue code for all CPT codes when applicable.

• Validates that all clinical tests performed meet medical necessity according to local and national policies.

• Interacts with HIM employees and other departments to resolve issues and escalates problems to the appropriate level for resolution. Report any excessive or unusual write-offs to the appropriate level for further investigation.

• Demonstrates knowledge of sequencing diagnoses and procedures as outlined in the Official Coding Guidelines, Uniform Hospital Discharge Data Set, CPT, and CMS guidelines.

Abstracts data in compliance with national, state, regional, and local policies which includes all of the following. Reviews assigned charges in the charge viewer to verify what is ordered and what procedures are carried out. Communicates to various departments when charges need to be added, deleted, or changed and when discharge dispositions and patient

The expertise and experiences you’ll need to succeed:

EDUCATION AND EXPERIENCE 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).

• Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam.

• A minimum of one year outpatient coding experience preferred for an emergency room and other outpatient coding