Hospital Coding Specialist III

Remote Opportunity Position available in a remote capacity. Position Summary Multifacility responsibility for complete and accurate coding of Same Day Surgery and Outpatient Observation for the entire Orlando Health system. Coding is done using ICD‑10‑CM, CPT‑4, and HCPCS Level I and II, with EMR systems (EPIC), encoder software, and CAC. Responsibilities Perform review and analysis of clinical documentation and accurately assign diagnosis and procedure codes for Same Day Surgery and Outpatient Observation visits using ICD‑10‑CM and CPT‑4. Sequence diagnoses/status codes and HCPCS/CPT‑4 procedure codes for proper Ambulatory Classification (APC) assignment, adhering to coding conventions, Official Guidelines, and CMS requirements. Communicate cooperatively with physicians, office personnel, patients, and other healthcare team members. Ensure medical necessity coverage through complete review of provider documentation and accurate ICD‑10‑CM code assignment. Assign modifiers to CPT‑4 procedures as applicable. Clear all applicable NCCI edits and coding validation errors/warnings at the time of coding. Abstract information into the hospital information system. Request additional documentation when necessary to ensure accurate code assignment. Query physicians for clarification of documentation discrepancies. Collaborate with other revenue‑management departments to resolve account errors or anomalies. Work with coding teams to meet corporate goals for coding completion. Provide data for productivity, optimization, and statistical reports. Maintain 95 % accuracy and participate in QA studies. Maintain productivity levels established by department. Cross‑train in all aspects of coding based on department need. Attend departmental and other meetings as requested. Complete and actively participate in education activities assigned by OH Hospital Coding Leadership. Demonstrate knowledge of coding guidelines, procedures, medical necessity/CCI edits, and APC reimbursement system; keep abreast of coding changes. Adhere to the Standards of Ethical Coding set forth by AHIMA, AAPC, and official guidelines. Maintain confidentiality of patient information. Maintain punctual attendance, consistent with Orlando Health policies, ADA, FMLA, and federal/state/local standards. Maintain compliance with all Orlando Health policies and procedures. Qualifications Education/Training Associate’s or Bachelor’s degree (any field); OR Completed a coding certificate program. Computer literacy. Knowledge of medical terminology, anatomy, and physiology. Knowledge of coding complex outpatient surgical procedures. Score 90 % or better on Orlando Health Level II coding skills test. Licensure/Certification Certified Coding Specialist (CCS) or Coding Associate (CCA) by AHIMA – renewal required every 2 years Certified Professional Coder (CPC) by AAPC – renewal every 2 years Certified Outpatient Coder (COC) by AAPC – renewal every 2 years Registered Health Information Administrator (RHIA) – preferred but not required Registered Health Information Technician (RHIT) – preferred but not required Experience At least 2 years of previous hospital coding experience. Thorough knowledge of coding classification systems. #J-18808-Ljbffr