Assign ICD-10-CM and ICD-10-PCS codes for inpatient surgical and procedure-based records.
Ensure accurate DRG assignment reflecting procedures performed and patient acuity.
Review documentation to validate procedural coding, sequencing, and clinical alignment.
Maintain productivity and turnaround time standards to support DNFB reduction and revenue cycle performance.
Apply coding guidelines, regulatory requirements (IPPS, CMS), and payer rules to ensure compliant coding practices.
Identify documentation gaps related to procedures and collaborate with CDI for clarification when appropriate.
Incorporate audit findings and education into daily coding practice to ensure accuracy and consistency.
Review documentation to identify MCC/CC capture opportunities.
Participate in quality reviews and respond to audit feedback and performance improvement initiatives.
Maintain knowledge of coding updates, PCS guidelines, and regulatory changes.
Perform other duties as assigned.
High School Graduate or equivalent.
4+ years of acute care hospital coding experience including heavy PCS coding of complex surgeries, or 4 years of hospital coding plus completion of the AdventHealth inpatient surgical coding training program.
Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Professional Coder (CPC) required.
Ability to interpret clinical documentation and its impact on coding and DRG assignment.
Knowledge of ICD-10-CM coding, low acuity procedures, and inpatient reimbursement (IPPS).
Understanding of CDI processes and documentation requirements.
Ability to identify coding and documentation risks.
Ability to write compliant queries.
Strong analytical and problem-solving skills.
Effective communication and collaboration across clinical, CDI, and coding teams.
Benefits from day one:
- Medical, dental, and vision insurance
- Life insurance
- Disability insurance
Additional perks:
- Paid time off from day one
- 403(b) retirement plan
- 4 weeks of 100% paid parental leave
- Career development
- Whole person well-being resources
- Mental health resources and support
- Pet benefits
Location
Orlando, Florida, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago