Medical Records Coder l ENT FT Days : AdventHealth Medical Group East FL
Location Address: Daytona Beach, FL (Not a remote position)
Top Reasons To Work At AdventHealth Medical Group East FL
Great team of co-workers that feel like family
Full Time, Monday-Friday.
You Will Be Responsible For:
Performs review functions associated with accurate code assignment on referral and recurring outpatient 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 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 HCP Physicians 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, CPT, HCPCS Level II and CMS guidelines.
Communicates to various departments when charges need to be added, deleted, or changed. Assigns proper modifiers when needed. Reviews the encounter for proper place of service, rendering physician, and date of service.
Is proficient in navigating the electronic medical record and all supporting information management and billing systems. Must be proficient in the use of currently available computer assisted coding software application.
Demonstrate expert job knowledge and applies current coding and billing regulations, policies, processes, and procedures with effective decision-making and problem solving skills.
Meets and exceeds established coding and abstracting quality and productivity standards.
Participates in department performance improvement reviews and coding reviews. May provide training and support and or quality support as directed. Is flexible and willing to adapt to changes in the work environment.
Maintains the confidentiality of employees, patients, administrative staff and medical staff information at all times without any infraction.
Comprehensive knowledge of coding functions, rules, and guidelines.
Critical thinking and problem solving skills are essential along with the ability to work independently, and with minimal supervision. Must be self-motivated and able to use electronic resources.
Remain informed and educated about changes in the reimbursement system and coding conventions and current updates.
Other duties as assigned.
What You Will Need:
Credentials as RHIA, RHIT, CCS, CPC or CPC-A with obtaining the CPC within twenty-four months of hire.
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.
Computer proficiency required.
Performs a thorough review, assessment and analysis of the referral and recurring 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
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.