The Rapid In & Out Coder is responsible for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate ICD9, ICD-10 and CPT codes conventions and requirements of Medicare Prospective Payment System. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
What You Will Need:
EDUCATION AND EXPERIENCE REQUIRED:
Experienced level with at least 3-5 years of CPT coding experience
EDUCATION AND EXPERIENCE PREFERRED:
Five years surgical coding experience in an acute care hospital. At least one-two years of coding education including formal education in anatomy, physiology and medical terminology.
Comprehensive experience with cases that require a more complex level of coding
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
RHIA, RHIT, or CCS certification or credentials
KNOWLEDGE AND SKILLS REQUIRED:
Knowledge of Medicare reimbursement systems, data abstraction and encoder functionality.
Ability to communicate effectively with physicians and physician office staff
Computer skills to include Microsoft Office
Self motivated and ability to work independently, in a remote setting
Critical thinking and problem solving skills
Comprehensive knowledge of coding functions, rules and guidelines as it relates to CPT assignment, Correct Coding Initiatives edits and medical necessity
Demonstrates through behavior Florida Hospital’s Core Values of Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork as outlined in the organization’s Performance Excellence Program.
Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist. Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate timely clinical documentation.
Applies ICD-9 codes, ICD-10 codes, APC codes, modifiers, physician codes, and revenue codes to outpatient encounters
Utilizes thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, CPT Assistant, National Correct Coding Initiative edits, National Coverage Policies and Local Coverage Policies
Ensures all tests performed meet medical necessity according to local and national policies
Uses critical thinking and sound judgment in decision making; keeping reimbursement considerations in balance with regulatory compliance
Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency.
Maintains the confidentiality of employees, patients, administrative staff and medical staff information with no infractions
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