Position Summary
Facilitate improvement in medical record documentation for purposes of coding, billing and compliance

Essential Functions
 Communicates cooperatively and constructively with physicians, physicians' office personnel, guests, patients and members of the
healthcare team.
 Demonstrates strong verbal and written communication skills.
 Works independently to coordinate information and workflow of corporate functional area.
 Interacts with coding and other teams to ensure completion of corporate and departmental goals.
 Accurately and optimally reviews and codes diagnoses and procedures from electronic medical records using ICD-9-CM, ICD-10-
CM/PCS, and/or CPT-4 coding classification systems and the encoder, CAC, and other apps as instructed.
 Properly sequences diagnoses and procedures according to UHDDS definitions for 837i billing.
 Participates in the biannual quality audit and maintains 95% or better accuracy.
 Accurately abstracts information into the hospital information system(s).
 Demonstrates an understanding of all coding updates and changes in coding guidelines and provides expertise for team..
 Assists the coding management team in medical record reviews for third party audits, denied claims, medical necessity, pre-bill
reviews, focused audits, etc.
 Works with Patient Accounting and ancillary areas to assure appropriate and timely billing on all accounts.
 Collects and provides data for statistical reports to coding management team as required.
 Completes concurrent reviews for purposes of documentation enhancement, interim billing, etc.
 Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills.
 Tracks/trends opportunities for physician education.
 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.
Other Related Functions
 Maintains established work production standards.
 Works as a team member in facilitating efficient and effective problem solving to meet goals.
 Establishes and maintains an environment of positive motivation through individual and group interaction.
 Assumes responsibility for professional growth and development.
 Attends department and other meetings as required.

Education/Training
 Associate degree in Health Information Management; or completion of American Health Information Management Association's
Independent Study program (AHIMA).
 Computer literacy required.
 Score of 85% or better on Orlando Health coding skills test.

Licensure/Certification
Must maintain one of the following:
 Registered Health Information Administrator (RHIA)
 Registered Health Information Technician (RHIT)
 Certified Coding Specialist (CCS)
 Coding Associate (CCA) by the American Information Management Association (AHIMA) – renewed every 2 years.
 Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) – renewed every 2 years.

Experience
Two (2) years previous hospital coding experience required. Thorough knowledge of both ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding
classification systems required.