Bayfront Health

Position Summary Remote Opportunity! 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, familiesand 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. Position SummaryMultifacility responsibility for complete and accurate coding of Same Day Surgery and Outpatient Observation for entire Orlando Health system’s purposes of billing in compliance with State and Federal regulations. Responsibilities Essential Functions•Perform review and analysis of clinical documentation and accurately assign diagnosis and procedure codes for multifacility Same Day Surgery and Outpatient Observation visits using ICD-10-CM and/or CPT-4 classification systems+, utilizing EPIC Electronic Medical Record (EMR), encoder, computer assisted coding (CAC), and other applications as applicable.•Appropriately sequence diagnoses/status codes and HCPCS Level 1 and Level II CPT-4 procedure codes for proper Ambulatory Classification (APC) assignment, utilizing applicable coding conventions, Official Guidelines on Coding and Reporting, and Center for Medicare and Medicaid Services (CMS) guidelines.•Communicates cooperatively and constructively with physicians, physicians’ office personnel, guests, patients, and members of the healthcare team.•Demonstrates good verbal communication skills.•Ensure procedure medical necessity coverage, when possible, by complete review of provider documentation and accurate ICD-10-CM code assignment.•Accurately assign modifiers to CPT-4 procedures as applicable.•Accurately clear all applicable NCCI edits and coding validation check errors/warnings at the time of coding.•Accurately abstracts information into hospital information system.•Request additional documentation, as needed, to ensure complete accurate code assignment.•Query physicians for clarification of documentation discrepancies and inconsistencies.•Effectively collaborate with other revenue management departments for resolution of account errors or anomalies.•Works with coding teams to ensure completion of all coding within corporate goals.•Provides data for reports on statistics, optimization, productivity, etc.•Maintains 95% accuracy and participates in department QA studies.•Maintains level of productivity established by department.•Cross trains in all aspects in coding based on department need.•Attends departmental and other meetings as requested.•Completes and actively participates in education activities as assigned by OH Hospital Coding Leadership.•Demonstrates knowledge and understanding of coding guidelines, procedures, medical necessity/CCI edits and the APC reimbursement system and keeps abreast of current coding changes and standards of care to maintain.•Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and adheres to official guidelines•Assures confidentiality of patient information.•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 to meet department goals.• Assumes the responsibility for professional growth and development through education programs, research, etc. Qualifications Education/Training•Bachelor’s or Associates degree; ORoCoding certificate programoComputer literacy requiredoMedical terminology, anatomy and physiology required oDemonstrated knowledge of coding complex outpatient surgical proceduresoScore 90% or better on Orlando Health level II coding skills test Licensure/CertificationMust maintain one of the following:•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.•Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) – renewed every 2 years.•Registered Health Information Administrator (RHIA) – preferred but not required•Registered Health Information Technician (RHIT) – preferred but not required Experience•2 years previous hospital coding experience required.•Thorough knowledge of coding classification systems required.

Position Summary Fully Remote Opportunity! 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 - BENEFITS & PERKS: All Inclusive Benefits (start day one) - Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Forbes Recognizes Orlando Health as a Best-In-State Employer - Forbes has named Orlando Health as one of America's Best-In-State Employers for 2024. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued. Employee-centric - Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare Position SummaryMultifacility responsibility for ensuring all aspects of coding is carried out accurately and efficiently through chart reviews, problem account resolution, and coding education according to established rules and regulatory guidelines across Orlando Health System. Responsibilities Essential Functions• Performs focused review for accuracy of principal and secondary diagnoses, co-morbid conditions and complications, procedure code assignments, and other required abstracted elements according to provider documentation in the medical record for to ensure billing compliance, quality reporting, and optimal reimbursement for all hospitals across Orlando Health System. • Maintains and achieves the highest standards of coding quality by assigning accurate ICD-10-CM and ICD-10-PCS or CPT-4 codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. • Subject matter experts on coding guidelines and responds promptly to internal and external requests to provide feedback on coding related issues • Participates and provides expert feedback during coding section meetings and coding education in services as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. • Develops and presents educational materials to key stake holders to support accurate and compliant coding.• Interacts and communicates effectively with coders, physicians, physician extenders, physician offices and members of the coding and management team • Collaborates with manager and other members of the Revenue Management Team to review all necessary patient records for accurate coding for best practice • Identify trends from review findings and formulate recommendations for corrective action plans and submit to Leaders from for Key Performance Indicator (KPI) reporting, process improvement, and education. • Submit trends to Leaders from internal and external reviews for Key Performance Indicator (KPI) reporting, process improvement, and education. • Able to identify areas of focus for review through trend reporting analysis.• Assists with Discharge Not Final Billed (DNFB) account reviews to ensure timely code completion and accurate billing for multi hospital accounts.• Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition, to achieve the highest quality of entered data. • Acts as a team leader and support for regional manager.• Assist with system testing, reporting, data trending, and troubleshooting coding applications. • Serves as a preceptor to new coders Responds promptly to internal and external requests to provide feedback on coding related issues. • Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and adheres to official guidelines. • Attends departmental and interdepartmental meetings as required • Utilizes resource material available in department to support coding practices • Performs other duties as needed. • 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 procedure Inpatient Liaison – Hospital inpatient • Advanced level of knowledge of sequencing guidelines for the sequencing of diagnosis and procedure codes for • appropriate classification systems with knowledge of ICD-10, ICD-10 PCS, MS-DRG and APR-DRG. • Demonstrates strong understanding of mortality and other coding impacted quality initiatives, and key performance indicators.• Collaborates with Clinical Document Excellence (CDE), Quality Management and other departments to determine appropriate DRG assignments for compliance and reimbursement purposes • Assist in coding any Inpatient as needed Outpatient Liaison – Hospital outpatient • Advanced level of knowledge of experience with ICD-10 and CPT coding.• Advanced level of knowledge of NCCI and external payer edit resolution. • Assist in coding any outpatient cases as needed Radiation Oncology Liaison – Hospital and Outpatient • Advanced knowledge of experience with ICD-10 and CPT coding in the radiation oncology field is required. • Advanced level knowledge of radiation oncology modalities and billing rules.• Advanced skill level in radiation oncology modality procedure charge validation (CPT Code) based on actual chart documentation.• Advanced skill level in reading treatment plans to identify the number of MUEs and devices. Other Related Functions• Develops and updates internal departmental processes • Assumes the responsibility for professional growth and development through educational programs, research, etc. • Maintains certification status • Performs other related duties as assigned • Maintains 95% or above accuracy rate• Strong computer literacy including Microsoft Word and Excel experience Qualifications Education/Training• Associate’s or bachelor’s degree in Health Information Management; OR• Completion of coding certificate program • Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS. • Computer literacy, knowledge of Anatomy, Physiology and Medical Terminology required • Liaison coding skills test of 90% or better• Advanced level knowledge of anatomy, physiology, pathophysiology, pharmacology, and medical terminology to accurately translate medical record documentation into the appropriate classification system for reporting Purposes Licensure/CertificationOne of the following national certifications: • Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) through AHIMA• Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Outpatient Coder (COC) Experience• Inpatient and Outpatient Liaisons:o Seven (7) years of relevant hospital inpatient and/or outpatient coding experience required. o One (1) year of teaching hospital coding experience preferred.• Radiation Oncology Liaison Only:o Three (3) years of Radiation Oncology coding experience in lieu of teaching hospital experience required (Radiation Liaison Only)

Position Summary Remote Opportunity! 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. Position Summary: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