Physician Practice Coding Specialist Remote, Cardiology Support Services, FT, 08A-4:30P

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, based on employee feedback. We’ve also been recognized as one of America’s Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report 2023-2024 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we’re excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it’s like to be in their shoes. Many of us have been patients here and have had family members as patients here. We’re committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we’re all in.

Description

The Coding Specialist is responsible for the assignment of appropriate ICD-10-CM/CPT/HCPCS/ Level I & II modifiers) codes to services, diagnosis and procedures to obtain accurate timely and accurate production for proper reimbursement and data collection through evaluating and interpreting medical record documentation. Adheres to official coding guidelines and regulations, AMA, CMS and National Correct Coding Initiatives (NCCI). Collaborates with Coding Education team for identified trends and provider educational coding opportunities. Ensure timely charge review/processing of daily submissions. Routinely monitoring annual coding and regulation changes. Communicate to clinical providers all discrepancies in coding based on the medical record reviewed and provides feedback related to documentation issues and/or revenue opportunities. Review coding claim denials from Revenue Management for coding resolutions. Participates in audit, education and coding team meetings to discuss solutions to coding guidance. Meet or exceed required departmental expectations on a consistent basis. Performs a variety of other Coding Compliance duties as needed. Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties. Estimated pay range for this position is $22.87 - $29.73 / hour depending on experience.

Qualifications

High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience required.

Licenses & Certifications: AAPC Certified Professional Coder AHIMA Certified Coding Specialist AHIMA Certified Coding Specialist-Physician-based Additional Qualifications: Certified Professional Coder (CPC), Certified Coding Specialist or Physician (CCS-P) designation required with current active status. Required completion of an accredited certified coding specialist program. Minimum of one (1) to two (2) years coding experience in a physician practice setting. Must pass pre-employment coding assessment test with before hire. Proficient in ICD-10CM/PCS, HCPCS/CPT coding conventions and guidelines, National and Local Coverage Determinations. Ability to define problems, collect data, establish facts, and draw valid conclusions. Comprehensive knowledge of coding guidelines in collaboration with federal and national regulations (CMS, AHIMA, NCCI etc.). Attention to detail and completeness with a thorough understanding of government rules and regulations, medical coding and reimbursement guidelines. Ability to identify/trend/summarize potential compliance, coding, billing concerns and bring forth a potential resolution. Competency in computer applications. Ability to function independently and as a team player in a fast-paced environment required. Ability to communicate effectively with physicians and co-workers.

Minimum Required Experience: 2 years

EOE