Senior Coder Job at Lakeland Regional Health, Lakeland, FL

ODg5YVdVSUFLekNMdWVob0NHZWlLZz09

Job Description

Position Information

Work Type:
Active - Benefit Eligible and Accrues Time Off
Exempt: No
Work Schedule: Monday - Friday (Remote)

Shift Time:
Location: Ambulatory Central Business Office, US:FL: Lakeland

Position Summary

Summary:

Under the direction of the Ambulatory Coding Quality Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes, and modifiers to clinic encounters and hospital-based services for reimbursement and statistical purposes. Assures that the provider and clincial staff documentation in the medical record supports any information provided in the claims. Communicates with providers or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.

Position Details

Detailed responsibilities:

  • People at The Heart of all we do
  • Fosters an inclusive and engaged environment through teamwork and collaboration.
  • Ensures patients and families have the best possible experiences across the continuum of care.
  • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

  • Safety And Performance Improvement
  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.

  • Standard Work Duties: LRHPG Coder II
  • Reviews medical records to determine if diagnostic and procedure codes are acurately reflecting the provider documentation.
  • Assigns and sequences diagnostic and procedural codes and modifiers using appropriate classification systems and official coding guidelines.
  • Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM, CPT, and HCPCS codes and modifiers.
  • Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
  • Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
  • Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
  • Identifies and summarizes findings for internal and external parties to help providers improve their documentation and coding. Educates, trains, and provides assistance in a variety of ways to help providers and clinic staff close gaps in diagnoses and treatment opportunities.
  • Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
  • Reviews appropriate work queues/reports daily to address coding reviews, edits and corrections.
  • Assists healthcare providers and clincs in identifying and resolving issues related to incomplete or missing chart documentation, ambiguous or nonspecific documentation or codes that do not conform to regulatory guidelines.

  • Stewardship
  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.

Qualifications & Experience

Education:

Essential:
  • High School or Equivalent

Preferred:

  • Associate Degree

Education equivalent experience:

Preferred:
  • Accredited HIM program

Certifications:
Essential:
CPC, CCS-P, or CCS

Experience:
Essential: 2-5 years in a professional/ambulatory coding setting or acute care hospital outpatient coding experience.


Lakeland Regional Health is not accepting unsolicited assistance from search firms/Agencies for this employment opportunity. All resumes submitted by search firms/Agencies to any employee at LRH via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Lakeland Regional Health, HR/Recruitment will be deemed the sole property of LRH. No fee will be paid in the event the candidate is hired by LRH as a result of the referral or through other means.

Similar Jobs

Foster Farms

Director of Construction Engineering Job at Foster Farms

Company Description Foster Farms has been serving families since 1939. Since the founding days, Foster Farms has always been committed to providing consumers with the highest-quality,

Ply Gem Windows & Doors

Facilities Technician Job at Ply Gem Windows & Doors

Base Pay starts at $18.00 per hour, plus $1.50 per hour shift differential. Paint, remodel, refurbish areas as needed. Clean windows and glass doors.

Actalent

Program Manager Job at Actalent

The Bio Specimen Program Manager will work closely with major internal and external stakeholders to develop project plans and support day to day operations of

Stefanini, Inc

Helpdesk Technician I (Remote) Job at Stefanini, Inc

Listed salary ranges may vary based on experience, qualifications, and local market. An excellent opportunity for someone looking to start their career in Information Technology. You

Amazon.com Services LLC

Control Systems Lead - Coppell, TX Job at Amazon.com Services LLC

1+ years of Microsoft Office products and applications experience Associate's degree, or 2+ years of professional or military experience Work a flexible schedule/shift/work area, including