Physician Coder Senior - I, II

Position Summary

MUST RESIDE IN ONE OF THESE STATES TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, IN, KY, LA, ME, MA, MD, MI, MN, MS, NV, NM, NY, NC, OH, PA, SC, TN, TX, VA, WA and WI.

Position Summary:
This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position.

Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.

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 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.

MUST RESIDE IN ONE OF THESE STATES TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, IN, KY, LA, ME, MA, MD, MI, MN, MS, NV, NM, NY, NC, OH, PA, SC, TN, TX, VA, WA and WI.

Responsibilities

Essential Functions for Coder I and Coder II:
• Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
• Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels).
• Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government.
• Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up.
• Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals.
• Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials)
• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
• Utilizes resource material available in department to support accurate coding practices.
• Maintains patient confidentiality.
• Demonstrates good communication skills both verbal and written.
• Maintains 90% accuracy rate.
• Attends departmental and other meetings as scheduled.
• 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
• Participates in meeting department goals.
• Maintains productivity standards as designated by management.
• Assumes responsibility for own professional growth and development through educational programs, research, etc.
• Maintains certification status.
• Performs other related duties as assigned.

Essential Functions for Sr. Coder:

• Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
• Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels)
• Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government.
• Submits to their direct management any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up.
• Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals.
• Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials).
• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
• Utilizes resource material available in department to support accurate coding practices.
• Maintains patient confidentiality.
• Demonstrates good communication skills both verbal and written.
• Maintains 90% accuracy rate.
• Attends departmental and other meetings as scheduled.
• Provides data for production reports.
• Serves as mentor to Physician Coders I and Physician Coders II
• Serves as Management support.
• 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:
• Participates in meeting department goals.
• Maintains productivity standards as designated by management.
• Assumes responsibility for own professional growth and development through educational programs, research, etc.
• Maintains certification status.
• Performs other related duties as assigned.

Qualifications

Education/Training:
• High school diploma or equivalent.
• Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required.
• Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better.

Licensure/Certification:
One of the following national certifications:
• Certified Professional Coder (CPC) through the American Academy of Professional Coders.
• Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
• Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA).
• Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA).
• Certified Medical Coder (CMC) through Practice Management Institute.

Physician Coder I Required Experience:

• Minimum of one (1) year coding experience in professional/physician practice coding.
• Proficient in multi-specialty E/M coding is preferred

Physician Coder II Required Experience:

• Three (3) years certified coding experience in professional or physician practice coding.
• Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred
• Knowledge of surgical coding is desired

Sr. Physician Coder Required Experience:

• Five (5) years certified coding experience in professional or physician practice coding.
• Proficiency in multi-specialty E/M coding is required
• Proficiency in multi-specialty minor bedside procedures is required
• Proficiency in (1) specialty surgical coding is required, and multi specialty surgical coding is desired