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Manager, Medical Coding Corporate IT at Orlando Health

 

Manager, Medical Coding Corporate IT at Orlando Health

Status: Variable Full Time
Shift:
Varies
ReqID: req18365

TheManager, Coding is responsible for oversight and monitoring coding of inpatientand outpatient encounters within Orlando Health. Has a clear understanding ofthe revenue cycle in its entirety, and is responsible overseeing the codingteam, developing goals and objectives, and establishing policies and proceduresfor team operations, as well as ensuring proficiency, value and educationrelated to professional coding guidelines.

Education/Training

Bachelors degree required.
Completion of medical coding certificate program.
Computer literacy, knowledge of Anatomy, Physiology and Medical Terminologyrequired.
Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS asevidenced by results of coding skills test of 90% or better.
Proficient experience in Microsoft Word and Excel or similar computer softwareis required.

Licensure/Certification

Must maintain one (1) of the following national certifications:
Certified Professional Coder (CPC) through the American Academy ofProfessional Coders
Certified Coding Specialist (CCS), Registered Health Information Administrator(RHIA), Registered Health Information Technician (RHIT), Certified TumorRegistrar (CTR) through the American Health Information Management Association(AHIMA)
Certified Medical Transcriptionist (CMT) through the Association forHealthcare Documentation Integrity (AHDI)

Experience

Five (5) years of medical coding experience within a healthcare facility setting.
Working knowledge of Medicare, Medicaid, managed care and commercial insurancereimbursement policies.
Knowledge of CPT, HCPCS and ICD-9 and ICD-10 coding, and other third partybilling rules, reimbursement, and coverage guidelines. Demonstrated relationship-buildingskills in a managed healthcare environment.

Essential Functions

Ensures all coding and abstracting of health records meet establishedstandards of accuracy, timeliness, quality, and productivity.
Demonstrates proficiency in using payer and coding specific web sites tomaintain up to date coding knowledge including new changes to coding complianceand reimbursement. Must be able to effectively integrate changes into OrlandoHealth through communication, charge router and coding/charge reviewedits.
Demonstrate the ability to quickly identify incorrect coding and compliancetrends; to analyze, investigate suspected problems to determine root cause andresolution.
Responsible for productivity standards, performance evaluations, personnelissues and staff development, core competencies, coaching plans and dailycoaching for staff.
Prepare/distribute information summarizing opportunities with RevenueManagement on a monthly basis.
Determines whether services ordered and rendered to patients are accuratelycoded and billed, and supported by documentation in the clinical record throughthe auditing process.
Maintains current knowledge of all billing, clinical, and all related systemsfor the production of billing and documentation policies and processes.
Interacts with CDE, Health Information Management, Patient Accounting,Information Services (IS), and other departments as necessary for appropriatefollow-up.
Possess proficient knowledge in Microsoft Office Word, Outlook, andPowerPoint, and moderate to expert knowledge with Microsoft Excel due to highvolumes of data management and organization.
Exceptional understanding of Orlando Healths EMR, PM, and charge managementapplications (Allscripts, GECB, GEMMS, Sunrise, Sovera, etc).

About Orlando Health

OrlandoHealth is one of Floridas most comprehensive private, not-for-profithealthcare systems providing access to nearly two million Central Floridaresidents and has provided care for more than 4,600 international visitorsannually. Our physician practices, diagnostic centers, hospitals and advancedmedical treatments and procedures, along with our highly qualified team ofmedical specialists, have distinguished Orlando Health as a healthcare leader.We are one of Central Floridas largest employers with more than 15,000employees and nearly 3,000 affiliated physicians supporting our philosophy ofproviding a continuum of care that revolves around patients needs. As aleading healthcare resource, providing world-class medical care as well astraining our future healthcare providers, Orlando Health will continue tofoster growth and development throughout the region for generations to come. Weare looking for talented individuals to be part of our team


ADDRESS: 55 W. Gore St Orlando FL 32806

ABOUT ORLANDO HEALTH

Orlando Health is one of Florida's most comprehensive private, not-for-profit healthcare networks, and is based in Orlando, FL. Our facilities, advanced medical treatments and procedures, and highly qualified staff have distinguished Orlando Health as a healthcare leader for nearly two million Central Florida residents and 10,000 international visitors annually. Click here to learn more about Orlando Health.


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