|Employer:||University of Florida, Department of Orthopaedics
|Skills:||coding,effective communication,ability to work independently with minimal supervision
|Required Certifications:||AAPC,CPC,CCS-P,CCP-P,COC,RHIA or RHIT
|Preferred Certifications:||COSC (Certified Orthopaedic Surgical Coder)
|Required Experience:||3 to 4 years
|Preferred Experience:||5 to 7 years
|Location:||3450 hull rd Gainesville 32607, FL, US
The specific responsibilities of the position are:
- Accurately and timely assigns and sequences ICD-10-CM/CPT/HCPCS
codes to diagnoses and procedures for documented information in an
orthopaedic and rehabilitation setting for inpatient rounding,
surgeries, and outpatient clinic visits, determines the final diagnoses
and procedures stated by the physician or other health care providers
are valid and complete, and abstracts all necessary information from
health records to identify secondary complications and co-morbid
- Adheres to Department Coding and Compliance Policies and Procedures
and information processing requirements including the completion of
coding including data entry Epic, Cadence and Resolute. Accurately
identifies and codes services using appropriate source documents (clinic
note, chart documentation, dictated note or operative report) diagnoses
and procedures performed by physicians using ICD-10-CM and CPT
classification system. Posts all charges daily using appropriate ICD-10
and CPT codes, insurance FSC’s, modifiers, and includes
pre-certification numbers, referring physicians, secondary providers and
documentation when applicable.
- Establishes and maintains positive relationships with physicians and
co-workers, communicates effectively with physicians, nursing, other
clinical staff and co-workers about coding/documentation/compliance
issues and participates in coding/documentation/compliance related
discussions. Effective communication with relevant stakeholders
- Contacting Physicians or other clinical staff when appropriate to discuss coding, documentation, and/or compliance problems
- Discussing coding, documentation and compliance issues with co-workers on coding, documentation, and/or compliance issues
- Demonstrating proficiency in the preparation and communication of physician queries.
- Maintains up-to-date knowledge base of current coding and compliance
information/guidelines; and, participates in formal and/or informal
educational opportunities. Knowledge base of coding and compliance
information/guidelines may include:
- Provides proof of review to designated individual
- Demonstrates proficiency in researching coding and compliance questions and issues
- Participates in formal and/or informal educational opportunities
- Quantitative analysis – Performs a comprehensive review for the
record to assure the presence of all component parts such as: patient
and record identification, signatures and dates where required, and
other necessary data in the presence of all reports which appear to be
indicated by the nature of the treatment rendered. Review the records
for compliance with established third party reimbursement agencies and
special screening criteria.
- Analyzes provider documentation to assure the appropriate Evaluation
& Management (E & M) levels are assigned using the correct CPT
- Operates RPMS peripheral equipment (CRT / desktop CPU and printer)
for the purpose of key-entering data for the process of updating or
changing health summaries for patient information files and of exporting
said data to the Nashville Area Office.
- Performs all duties according to established safety procedures and University of Florida & Shands policies.
- Performs other duties assigned by the , Associate Director, Assistant Director, and/or Coding Supervisor
Minimum Requirements include:
- High school diploma or equivalent and three years of professional
medical coding experience. Appropriate college coursework or
vocational/technical training may substitute at an equivalent rate for
the required experience. Certified Professional Coder (CPC), American
Academy of Professional Coders (AAPC), Certified Coding Specialist
(CCS-P), Certified Outpatient Coder (CPC), Certified Compliance
Professional (CCP-P), Registered Health Information Administrator
(RHIA), or Registered Health Information Technician (RHIT) required.
Preferred Qualifications include:
- COSC (Certified Orthopaedic Surgical Coder)
- Coding experience using ICD-10-CM or equivalency. The incumbent is
expected to enroll in continuing education courses to maintain
certification. Six to twelve months would be required to become
proficient in most phases of the job.
- Advance knowledge of medical terminology, abbreviations, techniques
and surgical procedures; anatomy and physiology; major disease
processes; pharmacology; and the metric system to identify specific
clinical findings, to support existing diagnoses, or substantiate
listing additional diagnoses in the medical record.
- Advanced knowledge of medical codes involving selections of most
accurate and description code, using the ICD-10-CM, Volumes 1- 3, CPT,
HCPCS, and IHS coding conventions.
- Skill in correlating generalized observations/symptoms (vital signs,
lab results, medications, etc.) to a stated diagnosis to assign the
correct ICD-10-CM code.
- Advance knowledge of medical codes involving selection of most
accurate and descriptive code using the CPT codes for billing of third
- Extensive knowledge of official coding conventions and rules
established by the American Medical Association (AMA), and the Center
for Medicare and Medicaid Services (CMS) for assignment of diagnostic
and procedural codes.
- Knowledge of EPIC (EMR, Cadence and Resolute) in order to analyze
encounters and notify providers of data that needs corrections through
EMR broadcasts, notifications and templates.
- Must have good math skills and effective communication skills. Must
be knowledgeable of the fiscal requirements, policies, and procedures
of federal, state, and University of Florida UF Health programs.
Requires the knowledge of the business use of computer hardware and
software to ensure the effectiveness and quality of the processing and
presentation of data. Requires skill in the use of a wide variety of
office equipment including: computer, typewriter, calculator, facsimile,
copy machine, and other office equipment as required. Must be able to
follow instructions and work independently.
- Duties are highly complex, varied, require planning and coordinating
several activities at one time, and demand the use of problem solving
skills and analysis of circumstances to develop appropriate actions. Is
subject to frequent interruptions, in person and by phone, which
require varied response.
Finalist will receive competitive salary and benefits package, commensurate with qualifications.