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 timely clinical documentation.
Applies ICD-9 codes, ICD-10 codes, APC codes, modifiers, physician codes, and revenue codes to outpatient encounters
Utilizes thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, CPT Assistant, National Correct Coding Initiative edits, National Coverage Policies and Local Coverage Policies
Ensures all tests performed meet medical necessity according to local and national policies
Uses critical thinking and sound judgment in decision making; keeping reimbursement considerations in balance with regulatory compliance
Qualifications
What Will You Need:
EDUCATION AND EXPERIENCE REQUIRED:
Experienced level with at least 3-5 years of CPT coding experience
PREFERRED EDUCATION AND EXPERIENCE:
Five years surgical coding experience in an acute care hospital. At least one-two years of coding education including formal education in anatomy, physiology and medical terminology.
Comprehensive experience with cases that require a more complex level of coding
LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:
RHIA, RHIT, CPC or CCS certification or credentials
Job Summary:
The Rapid In & Out Coder is responsible for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate ICD9, ICD-10 and CPT codes conventions and requirements of Medicare Prospective Payment System. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
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.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.