UF Health · 2 days ago
Coder II | UF Heart & Vascular (REMOTE) | Full-time | Days
United States
Full-time
Remote
Entry Level
1+ years expUF Health is seeking a Coder II to assign diagnoses and procedure codes to medical records for Observation and Same Day Surgery. The role involves reviewing medical documents, ensuring accurate code assignment, and maintaining knowledge of coding guidelines and regulations.
Health CareMedical
Responsibilities
Assigns correct ICD-10-CM code to all diagnoses and correct CPT code to all procedures documented in the medical record
Thoroughly reviews the entire medical in order to retrieve proper documents (i.e. discharge summary, progress notes, operative report, pathology report, anesthesia report, etc.) to provide coding specificity
Reads and understands operative reports in order to classify to most accurate CPT codes. Researches complex operations as necessary
Selects the principal diagnosis and procedure according to the Uniform Health Data Discharge Set definitions and coding rules published in Coding Clinic
Accurately abstracts attending and operating physicians in the Sunrise Record Manager abstracting system
Assigns correct modifier on CPT codes that are required under the Medicare APC reimbursement
Maintains a thorough knowledge of the use of the encoder to assist in code assignment
Queries physicians as necessary to resolve documentation discrepancies. Maintains a positive working relationship with physicians in order to improve coder clinical competency and educate the clinician on documentation practice issues
Maintains a thorough knowledge of the prospective payment system and any new codes or DRG’s added/changed each year. Adheres to all official guidelines as approved by the Cooperating Parties (AHA, AHIMA, CMS, NCHS) as well as the ICD-9-CM coding conventions, Coding Clinic, and other official recourses to substantiate the most appropriate, correct code assignment. Stays abreast of Medicare’s medical review policies and incorporates updates and changes into the coding process
Qualification
Required
High School Diploma/Equivalent
1-year Medical Record Coding
Any AAPC or AHIMA Medical Coding Certification
Preferred
Graduate of a Health Information Management Program
Company
UF Health
University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Robert Thornton
Senior Vice President and Chief Financial Officer
Lydia Hendrix BSN,CRRN,MS
Chief Operating Officer
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