AdventHealth
Join to apply for the Ambul Payment Classification Coord role at AdventHealth
1 day ago Be among the first 25 applicants
Our Promise To You
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose‑minded team. All while understanding that together we are even better.
Benefits
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403‑B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well‑being Resources
Mental Health Resources and Support
Pet Benefits
Schedule
Full time
Shift
Day (United States of America)
Address
601 E ALTAMONTE DR
City
ALTAMONTE SPRINGS
State
Florida
Postal Code
32701
Job Description
Conducts retrospective and concurrent coding accuracy reviews as assigned by the supervisor, manager, and/or director.
Reviews and resolves accounts in work queues, including claim edits, Discharged Not Billed (DNB) edits, combined accounts, and simple visit coding validations.
Builds and maintains collaborative relationships with ancillary departments, Revenue Integrity, and Patient Financial Services to support the timely resolution of Discharged Not Final Coded (DNFC) accounts.
Reviews and responds to third‑party and regulatory agency requests, including quality studies and audit findings.
Codes and abstracts medical records as requested, in accordance with ICD‑10‑CM conventions, AdventHealth coding policies, and applicable Medicare and payer guidelines; addresses denials and applies necessary modifiers.
Assigns diagnosis and procedure codes in compliance with UHDDS rules, ICD‑10‑CM/PCS conventions, CPT Assistant, Coding Clinics, and organizational policies and procedures.
Maintains a minimum coding accuracy rate of 98%. Assists coding leadership in monitoring and achieving DNFB (Discharged Not Final Billed) performance goals.
Reviews and corrects data submissions to the Agency for Healthcare Administration (AHCA) as needed.
Reports any identified compliance concerns through auditing and monitoring processes to the manager.
Stays informed on coding guidelines, reimbursement requirements, and regulatory updates, and escalates any concerns to management.
Maintains up‑to‑date knowledge of ICD‑10‑CM, CPT, and PCS coding updates through continued education, including Coding Clinics, seminars, and industry publications.
Utilizes coding tools and resources such as CAC software, ICD‑10‑CM code books, CPT Assistant, and Coding Clinics to ensure accuracy and compliance.
Attends departmental and organizational meetings as required.
Performs additional duties and responsibilities as assigned.
Experience
Minimum of 3 years outpatient coding to include Emergency room, Ancillary, Observation and Ambulatory Surgery.
Education
Associate's degree in health information management or completion of a medical coding certificate program.
Licenses And Certifications
RHIA or RHIT or CPC or CPC‑P or CCS. One certification required.
Qualification Requirements
Associate, Bachelor's, High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body
Pay Range $23.91 - $44.46
This facility is an equal opportunity employer and complies with federal, state and local anti‑discrimination laws, regulations and ordinances.
Seniority level Not Applicable
Employment type Full‑time
Job function Other
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at AdventHealth by 2x
#J-18808-Ljbffr
1 day ago Be among the first 25 applicants
Our Promise To You
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose‑minded team. All while understanding that together we are even better.
Benefits
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403‑B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well‑being Resources
Mental Health Resources and Support
Pet Benefits
Schedule
Full time
Shift
Day (United States of America)
Address
601 E ALTAMONTE DR
City
ALTAMONTE SPRINGS
State
Florida
Postal Code
32701
Job Description
Conducts retrospective and concurrent coding accuracy reviews as assigned by the supervisor, manager, and/or director.
Reviews and resolves accounts in work queues, including claim edits, Discharged Not Billed (DNB) edits, combined accounts, and simple visit coding validations.
Builds and maintains collaborative relationships with ancillary departments, Revenue Integrity, and Patient Financial Services to support the timely resolution of Discharged Not Final Coded (DNFC) accounts.
Reviews and responds to third‑party and regulatory agency requests, including quality studies and audit findings.
Codes and abstracts medical records as requested, in accordance with ICD‑10‑CM conventions, AdventHealth coding policies, and applicable Medicare and payer guidelines; addresses denials and applies necessary modifiers.
Assigns diagnosis and procedure codes in compliance with UHDDS rules, ICD‑10‑CM/PCS conventions, CPT Assistant, Coding Clinics, and organizational policies and procedures.
Maintains a minimum coding accuracy rate of 98%. Assists coding leadership in monitoring and achieving DNFB (Discharged Not Final Billed) performance goals.
Reviews and corrects data submissions to the Agency for Healthcare Administration (AHCA) as needed.
Reports any identified compliance concerns through auditing and monitoring processes to the manager.
Stays informed on coding guidelines, reimbursement requirements, and regulatory updates, and escalates any concerns to management.
Maintains up‑to‑date knowledge of ICD‑10‑CM, CPT, and PCS coding updates through continued education, including Coding Clinics, seminars, and industry publications.
Utilizes coding tools and resources such as CAC software, ICD‑10‑CM code books, CPT Assistant, and Coding Clinics to ensure accuracy and compliance.
Attends departmental and organizational meetings as required.
Performs additional duties and responsibilities as assigned.
Experience
Minimum of 3 years outpatient coding to include Emergency room, Ancillary, Observation and Ambulatory Surgery.
Education
Associate's degree in health information management or completion of a medical coding certificate program.
Licenses And Certifications
RHIA or RHIT or CPC or CPC‑P or CCS. One certification required.
Qualification Requirements
Associate, Bachelor's, High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body
Pay Range $23.91 - $44.46
This facility is an equal opportunity employer and complies with federal, state and local anti‑discrimination laws, regulations and ordinances.
Seniority level Not Applicable
Employment type Full‑time
Job function Other
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at AdventHealth by 2x
#J-18808-Ljbffr