Coder II Remote Full Time Day

Description

Coder II AdventHealth Daytona Beach

Location Address: 301 Memorial Medical Parkway Daytona Beach, FL 32117

Top Reasons To Work At AdventHealth Daytona Beach

Career growth and advancement potential

Health Insurance Coverage

High quality of life with low cost of living on the shores of sunny Daytona Beach, FL.

Work Hours/Shift:

Full Time, Days

You Will Be Responsible For:

• Performs review functions associated with accurate code assignment on emergency room and wound care patient accounts.
• Assigns diagnosis and procedure codes following ICD-9 and 10 Official Coding Guidelines for diagnoses and procedures, CMS, CPT, Coding Clinic guidelines, various other governing bodies and Department coding policies and procedures.
• Interprets and reviews medical record documentation to assign accurate diagnoses and procedure codes for hospital emergency room accounts according to the supporting physician documentation in the record.
• Assigns correct ASC/APC modifiers to ensure appropriate reimbursement and assigns the correct revenue code for all CPT codes when applicable.
• Validates that all clinical tests performed meet medical necessity according to local and national policies.
• Interacts with HIM employees and other departments to resolve issues and escalates problems to the appropriate level for resolution. Report any excessive or unusual write-offs to the appropriate level for further investigation.
• Demonstrates knowledge of sequencing diagnoses and procedures as outlined in the Official Coding Guidelines, Uniform Hospital Discharge Data Set, CPT, and CMS guidelines.
• Abstracts data in compliance with national, state, regional, and local policies which includes all of the following. Reviews assigned charges in the charge viewer to verify what is ordered and what procedures are carried out. Communicates to various departments when charges need to be added, deleted, or changed and when discharge dispositions and patient type/status needs clarified. Assigns proper modifiers when needed. Reviews the encounter for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart-coding screen.

Qualifications

What You Will Need:

KNOWLEDGE AND SKILLS REQUIRED:

• • Computer proficiency required.
  • Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS). Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam.

EDUCATION AND EXPERIENCE REQUIRED:

• • Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS).
  • Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam.
  • A minimum of one year outpatient coding experience preferred for an emergency room and other outpatient coding

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

• • Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam.

Job Summary:

Performs a thorough review, assessment and analysis of the emergency room and wound care medical record documentation applying the appropriate ICD-9 and/or ICD 10 diagnoses and procedures codes, CPT procedure codes and modifiers for billing and classification.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.