Facilitate improvement in medical record documentation for purposes of coding, billing and compliance
Communicates cooperatively and constructively with physicians, physicians' office personnel, guests, patients and members of the
Demonstrates strong verbal and written communication skills.
Works independently to coordinate information and workflow of corporate functional area.
Interacts with coding and other teams to ensure completion of corporate and departmental goals.
Accurately and optimally reviews and codes diagnoses and procedures from electronic medical records using ICD-9-CM, ICD-10-
CM/PCS, and/or CPT-4 coding classification systems and the encoder, CAC, and other apps as instructed.
Properly sequences diagnoses and procedures according to UHDDS definitions for 837i billing.
Participates in the biannual quality audit and maintains 95% or better accuracy.
Accurately abstracts information into the hospital information system(s).
Demonstrates an understanding of all coding updates and changes in coding guidelines and provides expertise for team..
Assists the coding management team in medical record reviews for third party audits, denied claims, medical necessity, pre-bill
reviews, focused audits, etc.
Works with Patient Accounting and ancillary areas to assure appropriate and timely billing on all accounts.
Collects and provides data for statistical reports to coding management team as required.
Completes concurrent reviews for purposes of documentation enhancement, interim billing, etc.
Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills.
Tracks/trends opportunities for physician education.
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 in facilitating efficient and effective problem solving to meet goals.
Establishes and maintains an environment of positive motivation through individual and group interaction.
Assumes responsibility for professional growth and development.
Attends department and other meetings as required.
Associate degree in Health Information Management; or completion of American Health Information Management Association's
Independent Study program (AHIMA).
Computer literacy required.
Score of 85% or better on Orlando Health coding skills test.
Must maintain one of the following:
Registered Health Information Administrator (RHIA)
Registered Health Information Technician (RHIT)
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.
Two (2) years previous hospital coding experience required. Thorough knowledge of both ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding
classification systems required.