Physician Coding Ed Specialist

Position Summary

This opportunity is a hybrid role requiring occasional on-site presence and residency in the Central FL area. At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year.

Our 24 award‑winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities serve communities that span Florida’s east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career‑growing FREE education programs and well‑being services to support you and your family through every stage of life.

We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

• Location:
  
  Hybrid, Remote 90% & On-site 10%
• Status:
  Full Time (exempt)
• Days:
  Monday through Friday
• Shift: Day (flextime plan with the possibility of occasional early morning/evening hours)

• Responsible for internal auditing and analyzing professional coding for all service lines.
• Monitor audit results closely to identify potential coding inaccuracies.
• Provide the Department/Practice the needed support in identifying coding errors.
• Work with the practice to ensure services are captured accordingly.
• Provide additional education to practices/providers/coders as needed and requested.
• Ensure that medical documentation follows Governmental payers, Managed Care and private insurance guidelines.
• Review medical records to ensure accuracy of code assignment.
• Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.
• Identify and communicate physician documentation and coding opportunities for improvement.
• Take an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.
• Effectively communicate best practice physician coding related feedback with physicians, non‑physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office.
• Take the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide necessary feedback to correct claims on a go‑forward basis as well as recover underpaid amounts.
• Collaborate with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement.
• Address all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress.
• Provide statistical reports to deliver accurate documentation of ongoing internal coding efficiency process.
• Conduct focused physician reviews as needed and provide data to manager.
• Maintain 90% physician coding accuracy rate.
• Attend payor, departmental and interdepartmental meetings as required.
• Prepare/distribute information summarizing opportunities with physician coding monthly.
• Research, identify, develop and assist in implementation of a plan of action to resolve coding disputes with payors.
• Utilize resource material available in department, CMS, AMA, AHCA, and federal registry to support coding practices.
• Perform physician queries for coding and documentation clarification during concurrent chart review process.
• Serve as a preceptor to new coders.
• Maintain patient and coder confidentiality results.
• Proficiency in coding including ICD‑10, CPT, E/M, modifiers while maintaining a 90% accuracy.
• Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all client‑specific policies.
• Other duties as assigned based on company needs and projects.
• Ongoing coding…