Clinical Coder II

Location
Main Campus (Gainesville, FL)
Posted
Sep 16, 2020
Institution Type
Four-Year Institution
Clinical Coder II

Job no: 514200
Work type: Staff Full-Time
Location: Main Campus (Gainesville, FL)
Categories: Health Profession, Office/Clerical
Department:29170000 - MD-ORTHOPAEDICS / REHAB

Classification Title:

Clinical Coder II

Job Description:

The specific responsibilities of the position are:

  • Accurately and timely assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures for documented information in an orthopaedic and rehabilitation setting for inpatient rounding, surgeries, and outpatient clinic visits, determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete, and abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
  • Adheres to Department Coding and Compliance Policies and Procedures and information processing requirements including the completion of coding including data entry Epic, Cadence and Resolute. Accurately identifies and codes services using appropriate source documents (clinic note, chart documentation, dictated note or operative report) diagnoses and procedures performed by physicians using ICD-10-CM and CPT classification system. Posts all charges daily using appropriate ICD-10 and CPT codes, insurance FSC’s, modifiers, and includes pre-certification numbers, referring physicians, secondary providers and documentation when applicable.
  • Establishes and maintains positive relationships with physicians and co-workers, communicates effectively with physicians, nursing, other clinical staff and co-workers about coding/documentation/compliance issues and participates in coding/documentation/compliance related discussions. Effective communication with relevant stakeholders includes:
  • Contacting Physicians or other clinical staff when appropriate to discuss coding, documentation, and/or compliance problems
  • Discussing coding, documentation and compliance issues with co-workers on coding, documentation, and/or compliance issues
  • Demonstrating proficiency in the preparation and communication of physician queries.
  • Maintains up-to-date knowledge base of current coding and compliance information/guidelines; and, participates in formal and/or informal educational opportunities. Knowledge base of coding and compliance information/guidelines may include:
  • Provides proof of review to designated individual
  • Demonstrates proficiency in researching coding and compliance questions and issues
  • Participates in formal and/or informal educational opportunities
  • Quantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Review the records for compliance with established third party reimbursement agencies and special screening criteria.
  • Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
  • Operates RPMS peripheral equipment (CRT / desktop CPU and printer) for the purpose of key-entering data for the process of updating or changing health summaries for patient information files and of exporting said data to the Nashville Area Office.
  • Performs all duties according to established safety procedures and University of Florida & Shands policies.
  • Performs other duties assigned by the , Associate Director, Assistant Director, and/or Coding Supervisor
  • Expected Salary:$19.50-$21.50, commensurate with qualificationsMinimum Requirements:

    High school diploma or equivalent and three years of professional medical coding experience. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC), Certified Coding Specialist (CCS-P), Certified Outpatient Coder (CPC), Certified Compliance Professional (CCP-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) required.

    Preferred Qualifications:

    Preferred qualifications include:

    • Coding experience using ICD-10-CM or equivalency. The incumbent is expected to enroll in continuing education courses to maintain certification. Six to twelve months would be required to become proficient in most phases of the job.
    • Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record.
    • Advanced knowledge of medical codes involving selections of most accurate and description code, using the ICD-10-CM, Volumes 1- 3, CPT, HCPCS, and IHS coding conventions.
    • Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-10-CM code.
    • Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources.
    • Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
    • Knowledge of EPIC (EMR, Cadence and Resolute) in order to analyze encounters and notify providers of data that needs corrections through EMR broadcasts, notifications and templates.
    • Must have good math skills and effective communication skills. Must be knowledgeable of the fiscal requirements, policies, and procedures of federal, state, and University of Florida UF Health programs. Requires the knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data. Requires skill in the use of a wide variety of office equipment including: computer, typewriter, calculator, facsimile, copy machine, and other office equipment as required. Must be able to follow instructions and work independently.
    • Duties are highly complex, varied, require planning and coordinating several activities at one time, and demand the use of problem solving skills and analysis of circumstances to develop appropriate actions. Is subject to frequent interruptions, in person and by phone, which require varied response.
    Special Instructions to Applicants:

    In order to be considered, please upload a cover letter and resume by the posting end date.

    Application must be submitted by 11:55 p.m. (ET) of the posting end date.

    Health Assessment Required:No

    Advertised: 14 Sep 2020 Eastern Daylight Time
    Applications close: 28 Sep 2020 Eastern Daylight Time

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