Post job

Medical Coder jobs at Broward Health - 223 jobs

  • PBO Multi-Specialty Coding Specialist-PBO-BHC-#19117

    Broward Health 4.6company rating

    Medical coder job at Broward Health

    Broward Health Corporate ISC Shift: Shift 1 FTE: 1.000000 Assigns procedures, evaluation and management (E/M) coding, and diagnoses codes as documented in the medical records all within the professional coding guidelines, centers for Medicare and Medicaid (CMS) guidelines, and policies to obtain reimbursement. Meets deadlines to expedite the billing process and to facilitate data availability for providers to ensure the timeliness of claim submissions. Reviews outpatient and inpatient medical records and accurately codes diagnostic and procedural information following coding guidelines and regulations. Education: Essential: * High School Diploma or GED Experience: Essential: * Two Years Credentials: Essential: * Certified Professional Coder * Specialized Credentialing through AAPC Visit us online at ********************* or contact Talent Acquisition * Bonus Exclusions may apply in accordance with policy HR-004-026 Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
    $32k-43k yearly est. 37d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Master Patient Index Specialist-HIM-FT-Days-BHC #23409

    Broward Health 4.6company rating

    Medical coder job at Broward Health

    Broward Health Corporate ISC Shift: Shift 1 FTE: 1.000000 Responds to potential and actual duplicate medical record numbers and will report the pertinent findings to all appropriate hospital staff. Performs operational functions to support the health information management department. Education: Essential: * High School Diploma or GED Experience: Essential: * One Year Credentials: Visit us online at ********************* or contact Talent Acquisition * Bonus Exclusions may apply in accordance with policy HR-004-026 Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law. At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.
    $19k-26k yearly est. 5d ago
  • HOSPITAL INPATIENT CODER SR

    Moffitt Cancer Center 4.9company rating

    Tampa, FL jobs

    The Hospital Inpatient Coder Senior will be expected to apply extensive knowledge in assigning ICD-10- CM diagnosis and ICD-10-PCS procedure codes and Medicare Severity-Diagnosis Related Groupers (MS-DRG) for complex hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national and regional policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/ICD-10-PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. The Hospital Inpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities: Coding Encounter Key Performance Indicator Requirements Constraints of systems Query Knowledge Team Support Special Projects Perform other duties as assigned Credentials and Experience: High School Diploma/GED Five (5) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG. Any (one) of the following certifications is required: CCS) Certified Coding Specialist (CPC) Certified Professional Coder (COC) Certified Outpatient Coding (CCS-P) Certified Coding Specialist - Physician (RHIT) Registered Health Information Technician (RHIA) Registered Health Information Administrator (CIC) Certified Inpatient Coder *Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business AHIMA ************* or AAPC ************ Minimum Skills/Specialized Training Required Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties. Experience in coding hospital inpatient electronic medical records. Excellent communication and interpersonal skills. Experience with automated patient care and coding systems. Competence with MS Office software Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and ICD-10-PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"). Preferred Experience Preferred qualifications include: • Experience with coding oncology-related services.
    $56k-69k yearly est. 1d ago
  • Coder II - Outpatient - Coding & Reimbursement

    Lakeland Regional Health-Florida 4.5company rating

    Lakeland, FL jobs

    Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $19.37 Mid $24.22 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work Duties: Coder II - Outpatient Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment. Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement. Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers. Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines. Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames. Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities. Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Competencies & Skills Essential: Computer Experience, especially with computerized encoder products and computer-assisted coding applications. Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of anatomy and physiology, pharmacology, and medical terminology. Qualifications & Experience Essential: High School or Equivalent Nonessential: Associate Degree Essential: High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.
    $43k-53k yearly est. 3d ago
  • Inpatient Coder II, Full-time

    Brooks Rehabilitation 4.6company rating

    Jacksonville, FL jobs

    The Inpatient Medical Coder II is responsible for coding and applying ICD-10-CM and PCS codes as applicable to code medical records for Brooks Rehabilitation Hospital. Reviews data from the medical record to determine or confirm codes. Performs analysis of physician documentation and provides feedback for improvement. Collaborates with internal and external resources to obtain additional documentation to support the services provided, documentation and codes billed. Responsibilities: Reviews medical record to correctly apply and/or validate ICD-10-CM IRF-PAI codes. Supports timely, accurate and complete documentation of clinical information, facilitating modifications to clinical documentation to support services rendered and reimbursement received. Maintains knowledge of coding rules and regulations by staying current on issues regarding medical coding, compliance and reimbursement. Ability to accurately assign the IGC, etiologic diagnosis, and principal diagnosis for the UB04 and all applicable comorbidities, complications, and procedure codes Maintains coding accuracy of 95% or above for assigned codes. Completes the coding and data entry within four days of receipt and follows standard coding protocols for appropriate assignment of diagnoses and procedures. Seeks clarification for missing or inadequate information needed for accurate code assignment from appropriate resources. Maintains individual production defined by productivity standards with minimal supervision. Examines records timely; reviewing principal and secondary diagnoses and procedures Identifies records with opportunities for improved documentation. Communicates with designated staff either directly or through queries to facilitate complete and accurate documentation. Provides feedback regarding current coding practices and changes in regulations and guidelines to improve the accuracy of final code assignment Assists in maintaining accounts receivables at minimal levels as defined by departmental protocol by accurately assessing and correcting issues regarding medical necessity, claims denials, bundling issue sand charge capture. Efficiently uses available reference and coding tools and third party payer resources to research, maintain knowledge and provide feedback to department. Qualifications: Associate or Bachelor's Degree, preferred but not required A minimum of 5 years of coding experience as a certified medical coder Inpatient Rehabilitation experience preferred but not required Hours: 40 Hours per week, Monday - Friday This is a Remote position. Must live in Florida, Georgia, South Carolina, North Carolina Compensation: Experience, education and tenure may be considered along with internal equity when job offers are extended. Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following: Competitive Pay Comprehensive Benefits package Vacation/Paid Time Off Retirement Plan Employee Discounts Education and Professional Development Programs
    $40k-53k yearly est. Auto-Apply 60d+ ago
  • Inpatient Coder II, Full-time

    Brooks Rehabilitation 4.6company rating

    Florida jobs

    The Inpatient Medical Coder II is responsible for coding and applying ICD-10-CM and PCS codes as applicable to code medical records for Brooks Rehabilitation Hospital. Reviews data from the medical record to determine or confirm codes. Performs analysis of physician documentation and provides feedback for improvement. Collaborates with internal and external resources to obtain additional documentation to support the services provided, documentation and codes billed. Responsibilities: Reviews medical record to correctly apply and/or validate ICD-10-CM IRF-PAI codes. Supports timely, accurate and complete documentation of clinical information, facilitating modifications to clinical documentation to support services rendered and reimbursement received. Maintains knowledge of coding rules and regulations by staying current on issues regarding medical coding, compliance and reimbursement. Ability to accurately assign the IGC, etiologic diagnosis, and principal diagnosis for the UB04 and all applicable comorbidities, complications, and procedure codes Maintains coding accuracy of 95% or above for assigned codes. Completes the coding and data entry within four days of receipt and follows standard coding protocols for appropriate assignment of diagnoses and procedures. Seeks clarification for missing or inadequate information needed for accurate code assignment from appropriate resources. Maintains individual production defined by productivity standards with minimal supervision. Examines records timely; reviewing principal and secondary diagnoses and procedures Identifies records with opportunities for improved documentation. Communicates with designated staff either directly or through queries to facilitate complete and accurate documentation. Provides feedback regarding current coding practices and changes in regulations and guidelines to improve the accuracy of final code assignment Assists in maintaining accounts receivables at minimal levels as defined by departmental protocol by accurately assessing and correcting issues regarding medical necessity, claims denials, bundling issue sand charge capture. Efficiently uses available reference and coding tools and third party payer resources to research, maintain knowledge and provide feedback to department. Qualifications: Associate or Bachelor's Degree, preferred but not required A minimum of 5 years of coding experience as a certified medical coder Inpatient Rehabilitation experience preferred but not required Hours: 40 Hours per week, Monday - Friday This is a Remote position. Must live in Florida, Georgia, South Carolina, North Carolina Compensation: Experience, education and tenure may be considered along with internal equity when job offers are extended. Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following: Competitive Pay Comprehensive Benefits package Vacation/Paid Time Off Retirement Plan Employee Discounts Education and Professional Development Programs
    $41k-55k yearly est. Auto-Apply 60d+ ago
  • Remote Medical Coder

    The Coding Network LLC 3.8company rating

    Miami, FL jobs

    Job Description The Coding Network, LLC (TCN) is the country's premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone's schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you're looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for coders and auditors across many different specialties. At The Coding Network, our emphasis is on single specialty coding experience. This exciting opportunity will allow you to work with a variety of healthcare organizations and with other coding experts in the same specialty. To help with the application process, please take a minute to clarify what medical specialty or specialties you excel in and distinguish between surgical and E&M. For example: “I code Orthopedic Surgeries but not the E&M's” or “I'm an E&M coder, I code for the Family Practice, Internal Medicine, Dermatology, ENT and OBGYN clinics in my health system” Please make sure your resume is updated with a complete history of the specialties in which you are strongest. Once we review your resume, the TCN team will send you a short coding test so you can demonstrate your coding skills and abilities. We look forward to hearing from you and hope you join our team of 800+ single specialty coders and auditors. Here is a list of TCN's immediate needs: Immediate E&M Coder Specialties: E&M Behavioral Health E&M Cardiology E&M Dermatology E&M Family Practice E&M General Surgery E&M Hospitalist E&M Internal Medicine E&M Neurology E&M Neurosurgery E&M NICU/PICU E&M OB/GYN E&M Ophthalmology E&M Orthopedics E&M Pain Management E&M Pediatrics E&M Podiatry E&M Pulmonary E&M Trauma EM Urology Immediate Surgical/Procedural/Facility Specialties: ASC / Same Day Surgery (HOPD) Cardiothoracic Surgery (Pediatric) GYN/ONC Neurosurgery Orthopedic Surgery Trauma & Burn Surgery Transplant Urology Wound Care Company DescriptionTCN has been providing specialty specific medical coding for over 30 years. TCN's 800+ US based coders cover over 55 medical specialties and subspecialties for clients in all 50 states. For more information visit ********************* Company DescriptionTCN has been providing specialty specific medical coding for over 30 years. TCN's 800+ US based coders cover over 55 medical specialties and subspecialties for clients in all 50 states. For more information visit *********************
    $36k-49k yearly est. 4d ago
  • SPVR INPATIENT CODING

    Moffitt Cancer Center 4.9company rating

    Tampa, FL jobs

    At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999. Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision. Summary Moffitt Cancer Center in Tampa, FL is recruiting for SUPERVISOR INPATIENT CODING. For Florida residents and other select states (AL, AZ, AR, FL, GA, ID, IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, SD, TN, TX, UT, VA, WY) this full-time remote position offers a remote work arrangement Position Highlights: The Supervisor Inpatient Coding is responsible overseeing the day-to-day operations of the Inpatient Coding team. The Supervisor is responsible for development of coding and related policies and procedures. Ensures coding process is completed for inpatient facility patient encounters within the specified timeframes and ensures timely and accurate coding, and reimbursement related to ICD-10-CM and ICD-10-PCS code sets. This position identifies, develops, improves and implements code assignment for compliance with MSDRG and APRDRG, and other regulatory requirements. Monitors and performs performance improvement process for coding productivity and/or coding quality performance. Ensures delivery of coding staff education and training to ensure accurate and thorough coding of hospital inpatient encounters with ICD-10-CM and ICD-10-PCS code sets. Informs, educates and coordinates with other Revenue Cycle and Clinical Operations staff regarding coding process for hospital inpatient facility encounters. The Ideal Candidate: * The ideal candidate will be a Certified Coder with supervisory/leadership experience. Responsibilities: * Supervise day-to-day operations * Performance Supervision * Administrative * Performs other duties as assigned. * Query Knowledge * Departmental Collaboration Credentials and Experience: * Bachelor's Degree and minimum six (6) years' experience in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MS-DRG. inclusive of a minimum of two (2) years' as a team/project lead, supervisor, manager or above in a Health Information Management environment. OR Associate degree and two (2) additional years of experience as stated above for a total of eight (8) years' experience. Certification: Any "one" of the following certifications is required: * (CPC-H) Cert Professional Coder-Hosp * (CCS) Certified Coding Specialist * (CIC) Certified Inpatient Coder * (RHIT) Reg Health Info Technician * (RHIA) Reg Health Info Administrator * *Any certification not listed above but issued by one of the Governing Bodies (American Health Information Mgmt Assoc (AHIMA) or American Academy of Professional Coders ) will be reviewed and considered by the business as satisfying this requirement * Minimum Skills/Specialized Training Required * Extensive understanding of the effect of data quality on prospective payment, utilization, and reimbursement in a complex inpatient hospital setting. * Excellent communication and interpersonal skills. * Experience with automated patient care and coding systems. * Competence with MS Office software * Extensive knowledge of International Classification of Diseases, Tenth Revision, Clinical Modification ("ICD-10-CM"), International Classification, Tenth Revision, International Classification of Diseases, Tenth Revision, Procedural Coding System ("ICD-10-PCS"), American Healthcare Association ("AHA") coding clinic guidelines, Center for Medicare & Medicaid Services ("CMS") Official coding guidelines Share:
    $56k-69k yearly est. 7d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Tallahassee, FL jobs

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 52d ago
  • Surgical Coder (Remote Position - Must be FL resident)

    Sarasota Memorial Health Care System 4.5company rating

    Sarasota, FL jobs

    Identifies and applies appropriate ICD-10 diagnostic and CPT procedural codes to individual patient health information for claims processing, data retrieval and analysis. Responsible for patient financial related activities, which includes accurate entry of insurance benefits, authorizations and other activities which ensures complete and accurate claims. *Remote position - must be able to do pre-employment onboarding, orientation and any additional training on-site as needed. *Must be FL resident. Required Qualifications - Require a minimum of two (2) years of experience in a physician office. - Require a minimum of one (1) year of CPT and ICD physician coding experience. - Require Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P), or Certified General Surgery Coder (CGSC), or become certified within one (1) year of employment. Preferred Qualifications - Prefer a college degree. - Prefer demonstrated initiative and the ability to work in a self-directed environment. - Prefer Multi-Specialty coding experience. - Prefer basic knowledge of third party payers. - Prefer demonstrated ability to establish and maintain working relationships. - Prefer previous experience with medical terminology. - Prefer demonstrated basic accounting and math skills. - Prefer demonstrated computer, keyboard, and data input skills. - Prefer demonstrated ability to manage multiple tasks and priorities in a high volume setting. - Prefer knowledge of electronic health records software and skill in all Microsoft office software programs (Word, Excel, Outlook, Power Point, Access). - Prefer demonstrated effective verbal and written communication skills. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education AD: Associate's Degree Work Days/Shift/Start Time This position will work remotely following the completion of initial training and will operate Monday through Friday. The ideal candidate will have prior coding experience, preferably in Interventional Radiology, to support the accurate and timely coding of complex procedures. This role will play a key part in maintaining high coding quality, compliance, and operational efficiency. Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************
    $39k-49k yearly est. Auto-Apply 22d ago
  • Hospital Coding Specialist, Sr - Radiation Oncology

    Orlando Health 4.8company rating

    Orlando, FL jobs

    At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healingand hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. This Sr Hospital Coding Specialist will facilitate improvement in medical record documentation for purposes of coding, billing and compliance. Responsibilities Essential Functions: • Communicates cooperatively and constructively with physicians, physicians' office personnel, guests, patients and members of the healthcare team. • Demonstrates strong verbal and written communication skills. • Works independently to coordinate information and workflow of corporate functional area. • Interacts with coding and other teams to ensure completion of corporate and departmental goals. • Accurately and optimally reviews and codes diagnoses and procedures from electronic medical records using ICD-9-CM, ICD-10-CM/PCS, and/or CPT-4 coding classification systems and the encoder, CAC, and other apps as instructed. • Properly sequences diagnoses and procedures according to UHDDS definitions for 837i billing. • Participates in the biannual quality audit and maintains 95% or better accuracy. • Accurately abstracts information into the hospital information system(s). • Demonstrates an understanding of all coding updates and changes in coding guidelines and provides expertise for team.. • Assists the coding management team in medical record reviews for third party audits, denied claims, medical necessity, pre-bill reviews, focused audits, etc. • Works with Patient Accounting and ancillary areas to assure appropriate and timely billing on all accounts. • Collects and provides data for statistical reports to coding management team as required. • Completes concurrent reviews for purposes of documentation enhancement, interim billing, etc. • Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills. • Tracks/trends opportunities for physician education. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Maintains established work production standards. • Works as a team member in facilitating efficient and effective problem solving to meet goals. • Establishes and maintains an environment of positive motivation through individual and group interaction. • Assumes responsibility for professional growth and development. • Attends department and other meetings as required. Qualifications Education/Training: • Associate degree in Health Information Management; or completion of American Health Information Management Association's Independent Study program (AHIMA). • Computer literacy required. • Score of 85% or better on Orlando Health coding skills test. Licensure/Certification: Must maintain one of the following: • Registered Health Information Administrator (RHIA) • Registered Health Information Technician (RHIT) • Certified Coding Specialist (CCS) • Coding Associate (CCA) by the American Information Management Association (AHIMA) - renewed every 2 years. • Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) - renewed every 2 years. Experience: • Two (2) years previous hospital coding experience required. • Thorough knowledge of both ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding classification systems required Education/Training: • Associate degree in Health Information Management; or completion of American Health Information Management Association's Independent Study program (AHIMA). • Computer literacy required. • Score of 85% or better on Orlando Health coding skills test. Licensure/Certification: Must maintain one of the following: • Registered Health Information Administrator (RHIA) • Registered Health Information Technician (RHIT) • Certified Coding Specialist (CCS) • Coding Associate (CCA) by the American Information Management Association (AHIMA) - renewed every 2 years. • Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) - renewed every 2 years. Experience: • Two (2) years previous hospital coding experience required. • Thorough knowledge of both ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding classification systems required Essential Functions: • Communicates cooperatively and constructively with physicians, physicians' office personnel, guests, patients and members of the healthcare team. • Demonstrates strong verbal and written communication skills. • Works independently to coordinate information and workflow of corporate functional area. • Interacts with coding and other teams to ensure completion of corporate and departmental goals. • Accurately and optimally reviews and codes diagnoses and procedures from electronic medical records using ICD-9-CM, ICD-10-CM/PCS, and/or CPT-4 coding classification systems and the encoder, CAC, and other apps as instructed. • Properly sequences diagnoses and procedures according to UHDDS definitions for 837i billing. • Participates in the biannual quality audit and maintains 95% or better accuracy. • Accurately abstracts information into the hospital information system(s). • Demonstrates an understanding of all coding updates and changes in coding guidelines and provides expertise for team.. • Assists the coding management team in medical record reviews for third party audits, denied claims, medical necessity, pre-bill reviews, focused audits, etc. • Works with Patient Accounting and ancillary areas to assure appropriate and timely billing on all accounts. • Collects and provides data for statistical reports to coding management team as required. • Completes concurrent reviews for purposes of documentation enhancement, interim billing, etc. • Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills. • Tracks/trends opportunities for physician education. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Maintains established work production standards. • Works as a team member in facilitating efficient and effective problem solving to meet goals. • Establishes and maintains an environment of positive motivation through individual and group interaction. • Assumes responsibility for professional growth and development. • Attends department and other meetings as required.
    $50k-60k yearly est. Auto-Apply 6d ago
  • Physician Coding Ed Specialist

    Orlando Health 4.8company rating

    Orlando, FL jobs

    This opportunity is a hybrid role requiring occasional on-site presence and residency in the Central FL area* At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. Performs, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities. • Location: Hybrid, Remote 90% & On-site 10% • Status: Full Time (exempt) • Days: Monday through Friday • Shift: Day (flextime plan with the possibility of occasional early morning/evening hours) This opportunity is a hybrid role requiring occasional on-site presence and residency in the Central FL area* Responsibilities Essential Functions: • Responsible for internal auditing and analyzing professional coding for all service lines. o Monitor the audit results closely to identify any potential coding inaccuracy o Providesthe Department/Practice the needed support in identifying coding errors o Works with the practice to ensure services are captured accordingly. o Provides additional education to practices/providers/coders as needed and requested. Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines • Review medical recordsto ensure accuracy of code assignment. • Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting. • Identify and communicate physician documentation and coding opportunitiesforimprovement • Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices. • Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office. • Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts. • Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process. • Conducts focused physician reviews as needed and provides data to manager. • Maintains 90% physician coding accuracy rate. • Attends payor, departmental and interdepartmentalmeetings asrequired. • Prepares/distributes information summarizing opportunities with physician coding monthly. • Researches, identifies, develops, and assistsin implementation of a plan of action to resolve coding disputes with payors. • Utilizesresource material available in department, CMS, AMA, and AHCA and federal registry to support coding practices. • Perform physician queriesfor coding and documentation clarification during concurrent chartreview process. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Serves as a preceptor to new coders. • Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager. • Maintains patient and coder confidentiality results. • Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy. • Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all clientspecific policies. • Other duties as assigned based on company needs and projects. • Ongoing Coding Education and training activities • Responsible for the development and training of staff within the scope of his/her responsibilities as it relates to Coding Department structure New providers New Coders Testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. Existing providers Collaborate with Physician Coding Leadership in monitoring coding quality Participate in Health Plan Audits • Develop and implement coder enhancementstrategies o New Governmental releasesinformation o Basic in-house coders auditing o In-Service presentation during coders' meeting • Provide daily support to all assigned practice managers on their coding related questions • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Attends payor, departmental and interdepartmental meetings asrequired. • Other duties as assigned based on organization needs and projects. • Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. • Conducts focused physician reviews as needed and provides data to manager. Qualifications Skills Knowledge: • Excellent knowledge of CPT-4, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and thirdparty payer requirements pertaining to billing, coding and documentation • Knowledge of medical terminology • Experience working with Electronic Medical Records • Ability to work independently • Strong interpersonal and presentation skills paired with advanced written and verbal communication skills • Strong analytical and writing skillsrequired for proposal and report development Education/Training: • Associate degree required. • Five (5) years of directly related work experience may substitute for the associate degree. • Possesses exceptional knowledge in Microsoft Office Word, Outlook, and PowerPoint as well as moderate to expert experience with Microsoft Excel. • Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better. Licensure/Certification: Must maintain one (1) of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified Medical Coder (CMC) through Practice Management Institute • Certified Professional Medical Auditor (CPMA) • CEMA certification via National Alliance of Medical Auditing Specialists Experience: • 5-6 years of professional based coding experience isrequired. • Professional based coding experience must include - Office, Inpatient, Bedside Procedures, Surgical Coding, Teaching & Physician extender provider coding, multiple specialties is desired. • Level one (1) Trauma hospital experience is preferred. • Experience with a large organization, multi-location, multi-specialty with high volume providers is preferred. Skills Knowledge: • Excellent knowledge of CPT-4, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and thirdparty payer requirements pertaining to billing, coding and documentation • Knowledge of medical terminology • Experience working with Electronic Medical Records • Ability to work independently • Strong interpersonal and presentation skills paired with advanced written and verbal communication skills • Strong analytical and writing skillsrequired for proposal and report development Education/Training: • Associate degree required. • Five (5) years of directly related work experience may substitute for the associate degree. • Possesses exceptional knowledge in Microsoft Office Word, Outlook, and PowerPoint as well as moderate to expert experience with Microsoft Excel. • Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better. Licensure/Certification: Must maintain one (1) of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified Medical Coder (CMC) through Practice Management Institute • Certified Professional Medical Auditor (CPMA) • CEMA certification via National Alliance of Medical Auditing Specialists Experience: • 5-6 years of professional based coding experience isrequired. • Professional based coding experience must include - Office, Inpatient, Bedside Procedures, Surgical Coding, Teaching & Physician extender provider coding, multiple specialties is desired. • Level one (1) Trauma hospital experience is preferred. • Experience with a large organization, multi-location, multi-specialty with high volume providers is preferred. Essential Functions: • Responsible for internal auditing and analyzing professional coding for all service lines. o Monitor the audit results closely to identify any potential coding inaccuracy o Providesthe Department/Practice the needed support in identifying coding errors o Works with the practice to ensure services are captured accordingly. o Provides additional education to practices/providers/coders as needed and requested. Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines • Review medical recordsto ensure accuracy of code assignment. • Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting. • Identify and communicate physician documentation and coding opportunitiesforimprovement • Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices. • Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office. • Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts. • Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process. • Conducts focused physician reviews as needed and provides data to manager. • Maintains 90% physician coding accuracy rate. • Attends payor, departmental and interdepartmentalmeetings asrequired. • Prepares/distributes information summarizing opportunities with physician coding monthly. • Researches, identifies, develops, and assistsin implementation of a plan of action to resolve coding disputes with payors. • Utilizesresource material available in department, CMS, AMA, and AHCA and federal registry to support coding practices. • Perform physician queriesfor coding and documentation clarification during concurrent chartreview process. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Serves as a preceptor to new coders. • Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager. • Maintains patient and coder confidentiality results. • Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy. • Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all clientspecific policies. • Other duties as assigned based on company needs and projects. • Ongoing Coding Education and training activities • Responsible for the development and training of staff within the scope of his/her responsibilities as it relates to Coding Department structure New providers New Coders Testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. Existing providers Collaborate with Physician Coding Leadership in monitoring coding quality Participate in Health Plan Audits • Develop and implement coder enhancementstrategies o New Governmental releasesinformation o Basic in-house coders auditing o In-Service presentation during coders' meeting • Provide daily support to all assigned practice managers on their coding related questions • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Attends payor, departmental and interdepartmental meetings asrequired. • Other duties as assigned based on organization needs and projects. • Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. • Conducts focused physician reviews as needed and provides data to manager.
    $50k-60k yearly est. Auto-Apply 6d ago
  • Physician Coding Ed Specialist- St. Pete

    Orlando Health 4.8company rating

    Orlando, FL jobs

    *MUST RESIDE IN ST PETE, FL AREA* At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. The Physician Coding Ed Specialist performs, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities. • Location: Hybrid, Remote 90% & On-site 10% • Status: Full Time (exempt) • Days: Monday through Friday • Shift: Day (flextime plan with the possibility of occasional early morning/evening hours) This opportunity is a hybrid role requiring occasional on-site presence and residency in the St. Petersburg area* Responsibilities Essential Functions: • Responsible for internal auditing and analyzing professional coding for all service lines. o Monitor the audit results closely to identify any potential coding inaccuracy o Providesthe Department/Practice the needed support in identifying coding errors o Works with the practice to ensure services are captured accordingly. o Provides additional education to practices/providers/coders as needed and requested. Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines • Review medical recordsto ensure accuracy of code assignment. • Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting. • Identify and communicate physician documentation and coding opportunitiesforimprovement • Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices. • Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office. • Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts. • Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process. • Conducts focused physician reviews as needed and provides data to manager. • Maintains 90% physician coding accuracy rate. • Attends payor, departmental and interdepartmentalmeetings asrequired. • Prepares/distributes information summarizing opportunities with physician coding monthly. • Researches, identifies, develops, and assistsin implementation of a plan of action to resolve coding disputes with payors. • Utilizesresource material available in department, CMS, AMA, and AHCA and federal registry to support coding practices. • Perform physician queriesfor coding and documentation clarification during concurrent chartreview process. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Serves as a preceptor to new coders. • Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager. • Maintains patient and coder confidentiality results. • Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy. • Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all clientspecific policies. • Other duties as assigned based on company needs and projects. • Ongoing Coding Education and training activities • Responsible for the development and training of staff within the scope of his/her responsibilities as it relates to Coding Department structure New providers New Coders Testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. Existing providers Collaborate with Physician Coding Leadership in monitoring coding quality Participate in Health Plan Audits • Develop and implement coder enhancementstrategies o New Governmental releasesinformation o Basic in-house coders auditing o In-Service presentation during coders' meeting • Provide daily support to all assigned practice managers on their coding related questions • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Attends payor, departmental and interdepartmental meetings asrequired. • Other duties as assigned based on organization needs and projects. • Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. • Conducts focused physician reviews as needed and provides data to manager. Qualifications Skills Knowledge: • Excellent knowledge of CPT-4, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and thirdparty payer requirements pertaining to billing, coding and documentation • Knowledge of medical terminology • Experience working with Electronic Medical Records • Ability to work independently • Strong interpersonal and presentation skills paired with advanced written and verbal communication skills • Strong analytical and writing skillsrequired for proposal and report development Education/Training: • Associate degree required. • Five (5) years of directly related work experience may substitute for the associate degree. • Possesses exceptional knowledge in Microsoft Office Word, Outlook, and PowerPoint as well as moderate to expert experience with Microsoft Excel. • Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better. Licensure/Certification: Must maintain one (1) of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified Medical Coder (CMC) through Practice Management Institute • Certified Professional Medical Auditor (CPMA) • CEMA certification via National Alliance of Medical Auditing Specialists Experience: • 5-6 years of professional based coding experience isrequired. • Professional based coding experience must include - Office, Inpatient, Bedside Procedures, Surgical Coding, Teaching & Physician extender provider coding, multiple specialties is desired. • Level one (1) Trauma hospital experience is preferred. • Experience with a large organization, multi-location, multi-specialty with high volume providers is preferred. Skills Knowledge: • Excellent knowledge of CPT-4, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and thirdparty payer requirements pertaining to billing, coding and documentation • Knowledge of medical terminology • Experience working with Electronic Medical Records • Ability to work independently • Strong interpersonal and presentation skills paired with advanced written and verbal communication skills • Strong analytical and writing skillsrequired for proposal and report development Education/Training: • Associate degree required. • Five (5) years of directly related work experience may substitute for the associate degree. • Possesses exceptional knowledge in Microsoft Office Word, Outlook, and PowerPoint as well as moderate to expert experience with Microsoft Excel. • Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better. Licensure/Certification: Must maintain one (1) of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified Medical Coder (CMC) through Practice Management Institute • Certified Professional Medical Auditor (CPMA) • CEMA certification via National Alliance of Medical Auditing Specialists Experience: • 5-6 years of professional based coding experience isrequired. • Professional based coding experience must include - Office, Inpatient, Bedside Procedures, Surgical Coding, Teaching & Physician extender provider coding, multiple specialties is desired. • Level one (1) Trauma hospital experience is preferred. • Experience with a large organization, multi-location, multi-specialty with high volume providers is preferred. Essential Functions: • Responsible for internal auditing and analyzing professional coding for all service lines. o Monitor the audit results closely to identify any potential coding inaccuracy o Providesthe Department/Practice the needed support in identifying coding errors o Works with the practice to ensure services are captured accordingly. o Provides additional education to practices/providers/coders as needed and requested. Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines • Review medical recordsto ensure accuracy of code assignment. • Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting. • Identify and communicate physician documentation and coding opportunitiesforimprovement • Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices. • Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office. • Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts. • Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process. • Conducts focused physician reviews as needed and provides data to manager. • Maintains 90% physician coding accuracy rate. • Attends payor, departmental and interdepartmentalmeetings asrequired. • Prepares/distributes information summarizing opportunities with physician coding monthly. • Researches, identifies, develops, and assistsin implementation of a plan of action to resolve coding disputes with payors. • Utilizesresource material available in department, CMS, AMA, and AHCA and federal registry to support coding practices. • Perform physician queriesfor coding and documentation clarification during concurrent chartreview process. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Serves as a preceptor to new coders. • Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager. • Maintains patient and coder confidentiality results. • Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy. • Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all clientspecific policies. • Other duties as assigned based on company needs and projects. • Ongoing Coding Education and training activities • Responsible for the development and training of staff within the scope of his/her responsibilities as it relates to Coding Department structure New providers New Coders Testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. Existing providers Collaborate with Physician Coding Leadership in monitoring coding quality Participate in Health Plan Audits • Develop and implement coder enhancementstrategies o New Governmental releasesinformation o Basic in-house coders auditing o In-Service presentation during coders' meeting • Provide daily support to all assigned practice managers on their coding related questions • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Attends payor, departmental and interdepartmental meetings asrequired. • Other duties as assigned based on organization needs and projects. • Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. • Conducts focused physician reviews as needed and provides data to manager.
    $50k-60k yearly est. Auto-Apply 6d ago
  • Coding Specialist

    Gastro Health 4.5company rating

    Miami, FL jobs

    Do you love to care for patients in a warm and welcoming environment? Gastro Health is currently looking for an enthusiastic full-time Coding Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours - and we enjoy paid holidays per year plus paid time off. In this role, the you will work closely with Manager, Coding Operations and management team. The Team Lead will ensure that the company core values are being met. Job Description Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies Apply current billing and coding guidelines Evaluate that charges provided by the physicians support the level being billed based on the documentation Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements Manage claims for auditing purposes, including placing them on hold and billing once the process is complete Email office managers and physicians where updates are needed to operative reports Minimum Requirements High School Diploma or GED equivalent Must have CPC or equivalent certification Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting. Certified coder AAPC or AHIMA Excellent communication skills both verbal and written. Able to analyze data and quickly identify process-based issues for remediation. Maintains confidentiality in all matters that include Patient Health Information and employee data. Hands-on participation in process/workflow design including team member involvement across the department. Intermediate experience with Microsoft Excel and Office products is required. Target Oriented and Coding team resolution mindset Prior experience collaborating with a remote team is highly preferred. Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience. This position offers a great work/life balance! We are growing rapidly and support internal advancement We offer competitive compensation 401(k) retirement plans Profit-Sharing Dental insurance Health insurance Life insurance Paid time off Vision insurance Disability insurance Pet insurance We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!
    $55k-65k yearly est. Auto-Apply 60d+ ago
  • Medical Code II - 016063

    Interamerican Medical Center Group LLC 4.2company rating

    Hialeah, FL jobs

    The Medical Coder II position performs adequate coding services to the organization for achievement of reimbursement and compliance with correct coding guidelines. This individual requires skills in the sequencing of diagnosis/procedure codes to optimize reimbursement. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsible for the evaluation of medical documentation for proper assignment of ICD10-CM/CPT-4 codes and the preparation of claims. Seeks clinical documentation and makes coding recommendations to physicians based on their overall medical observation and documentation of medical records. Provide Physician training on MRA/HEDIS coding and medical documentation guidelines. Ensures medical records for accuracy and completion through pre audit and post audit processes to adequately code for all services to achieve reimbursement in accordance with correct coding guidelines. Completion of 30 medical record abstracts daily and provides coding recommendations to physicians. Provides PCP MRA/HEDIS coding support, education, and training. Monitor coding changes to ensure most current information is available. Assists with chart reviews/audits performed by health plans. Looks for new problem areas, trends, etc. Works HCC/HEDIS Care Gap Reports. Expected to maintain up to date coding innovations that can improve their workflow. Maintenance, reconciliation, and completion of PCP coding recommendations-Level 1 claims that have been corrected by physician. Other duties as assigned. EXPERIENCE AND REQUIRED SKILLS High School Diploma or equivalent required. CPC & ICD10 Certification required. Minimum of 3 years of medical coding experience with acquired progressive responsibility preferred. Proficient in official coding guidelines, ICD-10CM, CPT-4 and HCPCS. Strong organizational skills and high attention to detail. Strong collaboration and relationship building skills. Required to have a command of the English language and be proficient with grammar, spelling and verbal skills to communicate with patients, providers, and staff in written and oral communication. Must be proficient be proficient in Microsoft Office and knowledge with computers, scanners, etc. Experience with Patient Financial Systems and Electronic Medical Records. Good communication skills. Ability to learn new tasks and concepts. Bilingual English/Spanish preferred. IMC Health provides equal employment opportunity to all applicants and employees. No person is to be discriminated against in any aspect of the employment relationship due to race, religion, color, sex, age, national origin, disability status, genetics, citizenship status, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    $42k-54k yearly est. Auto-Apply 60d+ ago
  • Physician Coder (I, II, & Sr)

    Orlando Health 4.8company rating

    Florida jobs

    MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA, MI, NV, NM, NC, PA, SC, TX, VA, and WA. This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA, MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it's our promise to you. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Responsibilities Essential Functions for Coder I and Coder II: • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels). • Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government. • Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials) • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Attends departmental and other meetings as scheduled. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned. Essential Functions for Sr. Coder: • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels) • Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government. • Submits to their direct management any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials). • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Attends departmental and other meetings as scheduled. • Provides data for production reports. • Serves as mentor to Physician Coders I and Physician Coders II • Serves as Management support. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned. Qualifications Education/Training: • High school diploma or equivalent. • Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required. • Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better. Licensure/Certification: One of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders. • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). • Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA). • Certified Medical Coder (CMC) through Practice Management Institute. Physician Coder I Required Experience: • Minimum of one (1) year coding experience in professional/physician practice coding. • Proficient in multi-specialty E/M coding is preferred Physician Coder II Required Experience: • Three (3) years certified coding experience in professional or physician practice coding. • Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred • Knowledge of surgical coding is desired Sr. Physician Coder Required Experience: • Five (5) years certified coding experience in professional or physician practice coding. • Proficiency in multi-specialty E/M coding is required • Proficiency in multi-specialty minor bedside procedures is required • Proficiency in (1) specialty surgical coding is required, and multi specialty surgical coding is desired
    $49k-60k yearly est. Auto-Apply 60d+ ago
  • Physician Coder (I, II, & Sr)

    Orlando Health 4.8company rating

    Florida jobs

    MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA, MI, NV, NM, NC, PA, SC, TX, VA, and WA. This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA, MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Responsibilities Essential Functions for Coder I and Coder II: • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels). • Verifies billable physician services by reviewing physician documentation for adherence to the "Physician at Teaching Hospital" rules set forth by the federal government. • Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials) • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Attends departmental and other meetings as scheduled. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned. Essential Functions for Sr. Coder: • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels) • Verifies billable physician services by reviewing physician documentation for adherence to the "Physician at Teaching Hospital" rules set forth by the federal government. • Submits to their direct management any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials). • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Attends departmental and other meetings as scheduled. • Provides data for production reports. • Serves as mentor to Physician Coders I and Physician Coders II • Serves as Management support. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned. Qualifications Education/Training: • High school diploma or equivalent. • Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required. • Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better. Licensure/Certification: One of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders. • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). • Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA). • Certified Medical Coder (CMC) through Practice Management Institute. Physician Coder I Required Experience: • Minimum of one (1) year coding experience in professional/physician practice coding. • Proficient in multi-specialty E/M coding is preferred Physician Coder II Required Experience: • Three (3) years certified coding experience in professional or physician practice coding. • Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred • Knowledge of surgical coding is desired Sr. Physician Coder Required Experience: • Five (5) years certified coding experience in professional or physician practice coding. • Proficiency in multi-specialty E/M coding is required • Proficiency in multi-specialty minor bedside procedures is required • Proficiency in (1) specialty surgical coding is required, and multi specialty surgical coding is desired Education/Training: • High school diploma or equivalent. • Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required. • Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better. Licensure/Certification: One of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders. • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). • Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA). • Certified Medical Coder (CMC) through Practice Management Institute. Physician Coder I Required Experience: • Minimum of one (1) year coding experience in professional/physician practice coding. • Proficient in multi-specialty E/M coding is preferred Physician Coder II Required Experience: • Three (3) years certified coding experience in professional or physician practice coding. • Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred • Knowledge of surgical coding is desired Sr. Physician Coder Required Experience: • Five (5) years certified coding experience in professional or physician practice coding. • Proficiency in multi-specialty E/M coding is required • Proficiency in multi-specialty minor bedside procedures is required • Proficiency in (1) specialty surgical coding is required, and multi specialty surgical coding is desired Essential Functions for Coder I and Coder II: • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels). • Verifies billable physician services by reviewing physician documentation for adherence to the "Physician at Teaching Hospital" rules set forth by the federal government. • Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials) • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Attends departmental and other meetings as scheduled. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned. Essential Functions for Sr. Coder: • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels) • Verifies billable physician services by reviewing physician documentation for adherence to the "Physician at Teaching Hospital" rules set forth by the federal government. • Submits to their direct management any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials). • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Attends departmental and other meetings as scheduled. • Provides data for production reports. • Serves as mentor to Physician Coders I and Physician Coders II • Serves as Management support. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned.
    $49k-60k yearly est. Auto-Apply 6d ago
  • Surgical Coder PRN

    Sarasota Memorial Health Care System 4.5company rating

    Sarasota, FL jobs

    Identifies and applies appropriate ICD-10 diagnostic and CPT procedural codes to individual patient health information for claims processing, data retrieval and analysis. Responsible for patient financial related activities, which includes accurate entry of insurance benefits, authorizations and other activities which ensures complete and accurate claims. Required Qualifications - Require a minimum of two (2) years of experience in a physician office. - Require a minimum of one (1) year of CPT and ICD physician coding experience. - Require Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P), or Certified General Surgery Coder (CGSC), or become certified within one (1) year of employment. Preferred Qualifications - Prefer a college degree. - Prefer demonstrated initiative and the ability to work in a self-directed environment. - Prefer Multi-Specialty coding experience. - Prefer basic knowledge of third party payers. - Prefer demonstrated ability to establish and maintain working relationships. - Prefer previous experience with medical terminology. - Prefer demonstrated basic accounting and math skills. - Prefer demonstrated computer, keyboard, and data input skills. - Prefer demonstrated ability to manage multiple tasks and priorities in a high volume setting. - Prefer knowledge of electronic health records software and skill in all Microsoft office software programs (Word, Excel, Outlook, Power Point, Access). - Prefer demonstrated effective verbal and written communication skills. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education AD: Associate's Degree Required License and Certs Preferred License and Certs Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************
    $39k-49k yearly est. Auto-Apply 6d ago
  • Surgical Coder PRN

    Sarasota Memorial Health Care System 4.5company rating

    Sarasota, FL jobs

    Department FPG Central Billing Office Identifies and applies appropriate ICD-10 diagnostic and CPT procedural codes to individual patient health information for claims processing, data retrieval and analysis. Responsible for patient financial related activities, which includes accurate entry of insurance benefits, authorizations and other activities which ensures complete and accurate claims. Required Qualifications * Require a minimum of two (2) years of experience in a physician office. * Require a minimum of one (1) year of CPT and ICD physician coding experience. * Require Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P), or Certified General Surgery Coder (CGSC), or become certified within one (1) year of employment. Preferred Qualifications * Prefer a college degree. * Prefer demonstrated initiative and the ability to work in a self-directed environment. * Prefer Multi-Specialty coding experience. * Prefer basic knowledge of third party payers. * Prefer demonstrated ability to establish and maintain working relationships. * Prefer previous experience with medical terminology. * Prefer demonstrated basic accounting and math skills. * Prefer demonstrated computer, keyboard, and data input skills. * Prefer demonstrated ability to manage multiple tasks and priorities in a high volume setting. * Prefer knowledge of electronic health records software and skill in all Microsoft office software programs (Word, Excel, Outlook, Power Point, Access). * Prefer demonstrated effective verbal and written communication skills. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education AD: Associate's Degree Required License and Certs Preferred License and Certs Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************
    $39k-49k yearly est. 4d ago
  • Health Information Spec II

    Sarasota Memorial Health Care System 4.5company rating

    Sarasota, FL jobs

    Department Health Information Management Responsible for the day to day tasks related to the processing of health information to include but not limited to the following: chart pick-up, general HIM reception and transcription, release of information, indexing and quality assurance of medical records, analysis, amendments, audits, and birth certificate processing, emergency assistance program processing, and chart completion. Required Qualifications * Require a minimum of two (2) years of previous experience in Health Information Management. Preferred Qualifications * Prefer the ability to work independently, shift priorities, and demonstrate decision making ability. * Prefer the ability to cross train on all processes involved in scanning paper records and training staff on these processes. * Prefer advanced knowledge of word processing and spreadsheet applications. * Prefer knowledge of Joint Commission and CMS Conditions of Participation. * Prefer demonstrated strong interpersonal, communication and organization skills. * Prefer the ability to perform clerical duties, repetitive and detailed tasks. * Prefer the ability to interact with ancillary departments. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education Required License and Certs Preferred License and Certs Tuesday through Saturday 10:00AM-6:30PM Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************
    $51k-63k yearly est. 49d ago

Learn more about Broward Health jobs

View all jobs