Sr. Hospital Coding Specialist

Position Summary:
Position Summary
Facilitate improvement in medical record documentation for purposes of coding, billing and compliance.

Responsibilities:
Essential Functions

• Communicates cooperatively and constructively with physicians, physicians’ office personnel, guests, patients and members of the

healthcare team.

• 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.

Qualifications:
Education/Training

• 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.

Licensure/Certification

Must maintain one of the following:

• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) – renewed every 2 years.

Experience
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.