Coding Specialist Inpatient Mid Level

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.

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

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

900 WINDERLEY PL

City:

MAITLAND

State:

Florida

Postal Code:

32751

Job Description:

• Queries physicians for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions as needed.

• Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators.

• 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.

• Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen.

Knowledge, Skills, and Abilities:

• Thorough knowledge of Medicare reimbursement methodology, documentation guidelines, data abstraction, and encoder functionality. [Required]

• Ability to communicate effectively with physicians and physician office staff [Required]

• Computer skills, including Microsoft Office and Encoder software [Required]

• Self-motivated and able to work independently in a remote setting [Required]

• Critical thinking and problem-solving skills [Required]

Education:

• Associate [Preferred]

• High School Grad or Equivalent [Required]

Field of Study:

• Associate degree in Health Information Management or medical coding certification required

Work Experience:

• Three plus years of inpatient hospital coding experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility. [Required]

• Extensive experience with cases requiring more complex coding skills, such as advanced cardiovascular, cardiothoracic, neurological, and orthopedic surgical procedures, extended or prolonged length of stays (> 100 days), BMT and other solid organ transplantations, ECMO, cutting-edge surgical advancements that are considered new and innovative, procedures that may be considered experimental or research-based, and other complicated treatments or procedures provided in a quaternary care facility. [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

• Registered Health Information Administrator (RHIA) [Required] OR

• Registered Health Information Technician (RHIT) [Required] OR

• Certified Coding Specialist (CCS) [Required] OR

• Certified Professional Coder (CPC) [Required]

Physical Requirements: (Please click the link below to view work requirements)

Physical Requirements -

Pay Range:

$21.73 - $40.42

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Health Information Management

Organization: AdventHealth Corporate

Schedule: Full time

Shift: Day

Req ID: 152080927