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, DRG codes, present on admission codes, patient status codes, and participating physician codes with an understanding of how each is used and the impact the accuracy of the data has on mortality rates, clinical quality, reimbursement, internal score cards and key quality indicators.
Utilizes thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity and coverage determinations
Uses critical thinking and sound judgment in decision making; keeping reimbursement considerations in balance with regulatory compliance.
Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency.
What Will You Need:
EDUCATION AND EXPERIENCE REQUIRED:
Experienced level with at least 3-5 years acute care inpatient coding experience in a hospital setting
PREFERRED EDUCATION AND EXPERIENCE:
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, or CCS or certification or credential
The Inpatient Coder is responsible for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate ICD9 and DRG 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.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.