• Codes accurately and productively with abstraction to assigned inpatient medical records • Accurately codes and sequences all diagnoses and procedures documented in the medical record according to the established official coding guidelines • Utilizes Computer Assisted Coding software program following assigned workflows • Accurately abstracts required data entering into Computer Assisted Coding system • Issues accurate coding queries following AHIMA compliant coding query guidelines • Assists with special projects and reports as requested

Department: 10351 Enterprise Revenue Cycle - Coding Production Operations: Administrative Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Will support: - Responsible for performing informal coding accuracy reviews of outpatient encounters prior to billing, with a focus on cases involving high risk CPT codes and Inpatient Only (IPO) CPT codes. This role supports coding accuracy, regulatory compliance, and revenue capture by identifying errors and providing constructive feedback to coders to improve overall accuracy and consistency. - Specialists analyze and validate pre billing edits, including but not limited to LCD/NCD edits, unspecified code edits, and modifier related edits—to promote coding accuracy, compliance, and alignment with CMS guidance. Schedule: - Monday - Friday 1st shift 40 hours a week. Certification desired: - Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $28.05 - $42.10 - Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts, at regular intervals, with a high degree of accuracy. - Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS. - Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Assigns codes for present on admission, research, Hospital acquired Conditions and Core Measure Indicators for all diagnoses both concurrently and post-discharge. - Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes. - Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios. - Completes informal peer-review on inpatient and outpatient coders. - Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities. - Communicates with Medical Staff, CDI, Post -bill for documentation clarification. - Utilizes EMR communication tools to track missing documentation on inpatient queries that require follow-up to facilitate coding in a timely fashion. Partners with HIM, Patient Accounts, and Integrity, when needed, to help resolve issues affecting reimbursement and outcomes. - Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for coding all types of patients. - Must be able to use critical decision-making skills to determine when to query to clarify documentation independently for outcomes, reimbursement and benchmarking. License/Registration/Certification: - Must have a certification through American Health Information Management Association (AHIMA) or American Academy of professional Coders (AAPC) Education: - Two Year associate degree or equivalent work experience Experience: - Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility Knowledge, Skills & Abilities Required: - Advanced profiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. - Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. - Excellent communication (oral and written) and interpersonal skills. - Excellent organization, prioritization, and reading comprehension skills. - Excellent analytical skills, with a high attention to detail. - Ability to work independently and exercise independent judgment and decision making. - Ability to meet deadlines while working in a fast-paced environment. - Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: - Exposed to a normal office environment. - Must be able to sit for extended periods of time. - Must be able tocontinuously concentrate. - Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. - Operates all equipment necessary to perform the job. - This job description indicates the general nature and level of work expected of the incumbent. It is not designed - to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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 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.