Job Information
AdventHealth Coding Specialist Inpatient Senior Remote in Maitland, Florida
All the benefits and perks you need for you and your family:
Benefits from Day One
Paid Days Off from Day One
Student Loan Repayment Program
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
Pet Insurance*
Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
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
Shift : Monday Thru Friday day shift
Location: Remote
The community you’ll be caring for:
AdventHealth Orlando is a lush tropical campus and our flagship hospital.
This 1,414-bed hospital serves as the major tertiary facility for much of the Southeast, the Caribbean and South America.
We are already one of the busiest hospitals in the nation, providing service excellence to more than 50,000 inpatients each year.
AdventHealth Orlando is a lush tropical campus and our flagship hospital.
This 1,414-bed hospital serves as the major tertiary facility for much of the Southeast, the Caribbean and South America.
We are already one of the busiest hospitals in the nation, providing service excellence to more than 50,000 inpatients each year.
The role you’ll contribute:
The Senior Inpatient Coder is responsible for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate ICD9, ICD-10CM, ICD-10PCS and DRG codes used for quality reporting and reimbursement purposes. The Senior Inpatient Coder provides a level of experience and expertise such that coding quality review is not needed prior to billing. The Senior Coder also uses years of experience and expertise to provide leadership within the coding section, mentoring others and providing assistance to management to maintain excellence in coding. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The value you’ll bring to the team:
Demonstrates through behavior Florida Hospital’s Core Values of Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork as outlined in the organization’s Performance Excellence Program.
Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist. Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate and timely clinical documentation.
Applies ICD-9 codes, ICD-10 codes, DRG codes, present on admission codes, patient status codes, and participating physician 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 score cards and key quality indicators
Has an exhaustive understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity and coverage determinations as indicated by the ability to complete records with a minimum of data quality review. Has responsibility to ensure the correct DRG prior to billing with the ability to defend the DRG assignment if questioned by an outside review agency.
Assists with DRG auditing and validation as needed for newer coders and for external coding audit review
Mentors more junior level staff and provides coding/clinical education when necessary ensuring that the entire coding staff develops the highest level of excellence
Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance
Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency
Maintains the confidentiality of employees’, patients’, administrative staff and medical staff information with no infractions
Performs concurrent coding as assigned
Performs other duties as assigned
Qualifications
The expertise and experiences you’ll need to succeed:
Experienced level with at least five years acute-care inpatient coding experience in a hospital setting
Thorough knowledge of Medicare reimbursement methodology, documentation guidelines, data abstraction and encoder functionality.
Ability to communicate effectively with physicians and physician office staff
Computer skills to include Microsoft Office
Self motivated and ability to work independently, in a remote setting
Critical-thinking and problem-solving skills
Comprehensive knowledge of coding functions, rules and guidelines as it relates to DRG assignment
Thorough knowledge of medical terminology, anatomy and physiology and pathophysiology
RHIA, RHIT, or CCS certification or credential
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: 24023423
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.