Remote Senior Inpatient Coding Specialist

Remote Full-time
All the benefits and perks you need for you and your family: Benefits from Day One Paid Days Off from Day One Career Development Our Promise To You Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule: Full Time The community you'll be caring for: AdventHealth Orlando Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year The Role You'll Contribute The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of experience and expertise to demonstrate leadership within the coding section, mentoring others and assisting management in maintaining excellence in coding. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all The Value You'll Bring To The Team Verifies CAC codes and that assignment of diagnostic and procedure codes is based on and supported by the physician's clinical documentation contained within the record. Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate, timely clinical documentation. Discusses optimization and documentation issues with appropriate physicians and clinical personnel to ensure optimal coding and reimbursement, querying physicians for the clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions present during the admission, on an as-needed basis. Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, with an understanding of how each is used and the impact the accuracy of the data has on mortality rates, clinical quality, reimbursement, internal scorecards, and key quality indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations Qualifications The expertise and experiences you'll need to succeed: Education And Experience Required High school diploma and two years of coding education (medical coding certificate program or 2-year HIM program), including medical terminology, anatomy & physiology, and pathophysiology coursework. Five or more (5 ) years of inpatient hospital coding experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility. Licensure, Certification, Or Registration Required RHIA, RHIT, CCS, or CIC certification This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. Category: Health Information Management Organization: AdventHealth Orlando Schedule: Full-time Shift: 1 - Day Req ID: 25018727 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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