Orlando Health · 17 hours ago
Revenue Integrity Corp Coding Analyst II
Orlando, FL
Full-time
Onsite
Senior Level
5+ years expOrlando Health is a large healthcare organization dedicated to providing exceptional care and support to its community. The Revenue Integrity Corp Coding Analyst II is responsible for reviewing and analyzing hospital accounts related to coding and charge edits, ensuring compliance with coding guidelines, and collaborating with clinical teams to maximize charge capture and revenue reimbursement.
Health CareHospitalMedicalNon Profit
Responsibilities
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
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
Qualification
Required
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
Certified Physician Coder (CPC), Certified Coding Specialist (CCS), or Certified Interventional Radiology Cardiovascular Coder (CIRCC) from AAPC or AHIMA is required
Five (5) years of hospital charging and/or coding experience is required
Extensive PC and Excel experience is required
Preferred
EPIC Experience is preferred
Exceptional understanding of electronic medical records (EMR) and charge management
Benefits
FREE education programs
Well-being services
Company
Orlando Health
Orlando Health is one of Florida's most comprehensive private, not-for-profit healthcare networks.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Mildred Beam
SVP, Chief Legal Strategist
Mark Jones
Executive Vice President
Recent News
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2025-11-04
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