Cardiology Coding Jobs in Florida (NOW HIRING)

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Position Summary:
Reviews and analyzes hospital accounts that have failed coding and charge related edits, including medical necessity, National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE), and other exceptions requiring clinical and coding expertise. Reviews interventional radiology and cardiology invasive procedures and assigns the appropriate clinical procedure, anesthesia charges, and supply charges in accordance with nationally recognized coding guidelinesfortechnical Cardiology and Interventional Radiology services.

Essential Functions:
• Extracts statistical data, performs Root Cause Analysis to generate supporting trends reports, and notifies Clinical Liaisons and Manager(s) of any identified trends.
• Works assigned Epic workqueues; assesses and corrects Correct Coding Initiative (CCI) and Medical Necessity (MN) edits, as well as post bill denials relating to the same.
• Manages and prioritizes tasksto meet deadlines for all projects and audits assigned.
• Provides ad-hoc multivariate reports to management.
• Independently coordinates edit resolution workflow.
• Works closely with Revenue Integrity Clinical Liaisons to ensure reconciliation of edits to meet department and organization goals.
• Utilizes extensive knowledge of ICD-10-CM, CPT, HCPCS, and modifiers.
• Locates and interprets local coverage determination (LCD) from our MAC (First Coast) and national coverage determination (NCD) from CMS.
• Assistsin training new Revenue Integrity team members.
• Runs reports to identify unposted procedural logs.
• Analyzes medical information from medical records to accurately charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements.
• Consults with clinical staff and/or providers to clarify missing or inadequate record information and determine appropriate diagnostic and procedure codes.
• Identifies clinical build gaps and works with the ITCE/ELLiE team on updating the build so clinical teams can document information and capture applicable charges.
• Provides education to clinical teams on coding and documentation guidelines to maximize charge capture and revenue reimbursement opportunities.
• Reviews quarterly and yearly CMS updates to ensure current policies and guidelines are being applied.
• Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills.
• Communicates cooperatively and constructively with multi-disciplinary teams.
• Demonstrates professional verbal and written communication skills.
• 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 and quality standards.
• Collaborates within the team to facilitate efficient and effective problem-solving to meet goals.
• Assumes responsibility for professional growth and development, including obtaining continuing education units/credits, to remain current with industry standards.
• Attends department meetings as required.

Education/Training:
• Associate's degree is required, preferably in business, healthcare, or a related field. Four (4) years of directly related work experience may substitute for the Associate degree (in addition to the requirements listed in the Experience section).
• Proficiency in medical terminology is required.

Licensure/Certification:
• Certified Physician Coder (CPC), Certified Coding Specialist (CCS), or Certified Interventional Radiology Cardiovascular Coder (CIRCC) from AAPC or AHIMA is required.

Experience Required:
• Five (5) years of hospital charging and/or coding experience is required.
• Extensive PC and Excel experience is required.
• EPIC Experience is preferred.
• Exceptional understanding of electronic medical records (EMR) and charge management.