Talent.com
Coding II - Inpatient - Coding & Reimbursement

Coding II - Inpatient - Coding & Reimbursement

Lakeland Regional Health-FloridaLakeland, FL, United States
30+ days ago
Job type
  • Full-time
Job description

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Active - Benefit Eligible and Accrues Time Off

Work Hours per Biweekly Pay Period : 80.00

Shift : Flexible Hours and / or Flexible Schedule

Location : 210 South Florida Avenue Lakeland, FL

Pay Rate : Min $24.73 Mid $30.92

Position Summary

Under the direction of the Coding and Clinical Documentation Improvement Manger , reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and / or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, physician advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract, Participates in ongoing continued education to assure knowledge and compliance with annual changes.

Position Responsibilities

People At The Heart Of All That We Do

  • Fosters an inclusive and engaged environment through teamwork and collaboration.
  • Ensures patients and families have the best possible experiences across the continuum of care.
  • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.
  • Stewardship

  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.
  • Standard Work Duties

  • Determines whether the coding assigned was properly assigned based upon clinical indicators and review of the medical documentation and application of coding guidelines.
  • Develop and apply appeal arguments to defend the coding and clinical decisions while being able to address and refute the coding determination made by the carrier / payer.
  • Drafts appeal letters, including the coding argument with clinical and coding references, to support the coding decision. This may include providing additional medical record documentation.
  • Identifies areas for education to improve complete and accurate coding and billing and provide feedback to management regarding trends or patterns noticed in the coding for discussion.
  • Continued follow-up on denials as payers may continue to deny. Collaboration with Physician Advisor as required to continue appeal process.
  • Continuously reviews changes in coding rules and regulations including in Coding Clinic, CMS, and other payer guidelines.
  • Complete denials / appeals reports for leadership.
  • Documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.
  • Assigns and sequence documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.s diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines.
  • Performs special projects and / or other duties as assigned.
  • Competencies & Skills

    Nonessential :

  • Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
  • Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision
  • MS-DRG and APR-DRG methodology expertise required. Strong knowledge of ICD-10-CM, ICD-10-PCS, POAs, HACs, PSIs, SOIs, ROMs and mortality rates as well as physician queries.
  • Qualifications & Experience

    Nonessential :

  • Associate Degree
  • Essential :

  • High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
  • Other information :

    Certifications Essential : CCS

    Certifications Preferred : Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

    Experience Essential : 2-5 years acute care hospital inpatient coding experience within the past five years.

    Create a job alert for this search

    Coding Coding • Lakeland, FL, United States

    Related jobs
    • Promoted
    Billing Lead

    Billing Lead

    CFSRiverview, FL, US
    Full-time
    Billing Lead - Medical Billing & Coding.Our client, a mission-driven healthcare organization providing quality care to underserved communities, is seeking a. This is a great opportunity for an exper...Show moreLast updated: 16 days ago
    • Promoted
    Coder II - Outpatient - Coding & Reimbursement

    Coder II - Outpatient - Coding & Reimbursement

    Lakeland Regional Health-FloridaLakeland, FL, United States
    Full-time
    Lakeland Regional Health is a leading medical center located in Central Florida.With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare....Show moreLast updated: 18 days ago
    Billing & Coding Specialist

    Billing & Coding Specialist

    Revel HealthcareTampa, FL, us
    Full-time
    Quick Apply
    Billing & Coding Specialist | Full Time | Tampa, FL.Billing & Coding Specialist.This role focuses on accurate medical coding, insurance billing, and compliance to ensure clean claims and ti...Show moreLast updated: 13 days ago
    • Promoted
    Billing Lead

    Billing Lead

    Creative Financial StaffingRiverview, FL, US
    Full-time
    Billing Lead - Medical Billing & Coding.Our client, a mission-driven healthcare organization providing quality care to underserved communities, is seeking a. This is a great opportunity for an exper...Show moreLast updated: 30+ days ago
    • Promoted
    Remote Hospital Based Inpatient Coder III

    Remote Hospital Based Inpatient Coder III

    Memorial Healthcare SystemTampa, FL, US
    Remote
    Full-time
    Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical re...Show moreLast updated: 30+ days ago
    • Promoted
    HCC Billing and Coding Specialist

    HCC Billing and Coding Specialist

    Central Florida Health CareWinter Haven, FL, United States
    Full-time
    Director of Revenue Cycle Management.Under general supervision the position is responsible for billing, coding, posting, assigning correct payer sources, submitting clean claims to insurances and f...Show moreLast updated: 6 days ago
    AR Specialist / Healthcare Billing / Pharmacy

    AR Specialist / Healthcare Billing / Pharmacy

    Prosper InfusionTampa, FL, US
    Full-time
    Quick Apply
    Prosper Infusion is a leading provider in home Infusion therapy.We are looking for a AR Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion prov...Show moreLast updated: 15 days ago
    • Promoted
    Locum Physician (MD / DO) - Hematology and Oncology - $320 to $350 per hour in Dubuque, IA

    Locum Physician (MD / DO) - Hematology and Oncology - $320 to $350 per hour in Dubuque, IA

    LocumJobsOnlineDavenport, US
    Full-time
    LocumJobsOnline is working with Curative to find a qualified Hematology and Oncology MD in Dubuque, Iowa, 52001!.Radiation Oncology Locums Physician - Iowa, No Call. Radiation Oncology locums opport...Show moreLast updated: 30+ days ago
    • Promoted
    Coding II - Inpatient - Coding & Reimbursement

    Coding II - Inpatient - Coding & Reimbursement

    Lakeland Regional Health-FloridaLakeland, FL, US
    Full-time
    Lakeland Regional Health is a leading medical center located in Central Florida.With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare....Show moreLast updated: 30+ days ago
    • Promoted
    Locum Physician (MD / DO) - Hematology and Oncology - $320 to $350 per hour in Dubuque, IA

    Locum Physician (MD / DO) - Hematology and Oncology - $320 to $350 per hour in Dubuque, IA

    LocumJobsNetworkDavenport, US
    Full-time
    LocumJobsNetwork is working with Curative to find a qualified Hematology and Oncology MD in Dubuque, Iowa, 52001!.Radiation Oncology Locums Physician - Iowa, No Call. Radiation Oncology locums oppor...Show moreLast updated: 30+ days ago
    • Promoted
    Remote Outpatient Coder II

    Remote Outpatient Coder II

    Memorial Healthcare SystemTampa, FL, United States
    Remote
    Full-time
    Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and complia...Show moreLast updated: 9 days ago
    • Promoted
    Locum Physician (MD / DO) - Oncology - General / Other in Dubuque, IA

    Locum Physician (MD / DO) - Oncology - General / Other in Dubuque, IA

    LocumJobsNetworkDavenport, US
    Full-time
    LocumJobsNetwork is working with Adelphi Locums to find a qualified Oncology MD in Dubuque, Iowa, 52001!.Facility Location : Dubuque, IA. Service Setting : Inpatient / Outpatient.Reason For Coverage : Su...Show moreLast updated: 30+ days ago
    • Promoted
    Locum Physician (MD / DO) - Internal Medicine - General / Other in Cedar Rapids, IA

    Locum Physician (MD / DO) - Internal Medicine - General / Other in Cedar Rapids, IA

    LocumJobsNetworkDavenport, US
    Full-time +1
    LocumJobsNetwork is working with CompHealth to find a qualified Internal Medicine MD in Cedar Rapids, Iowa, 52404!.CompHealth services are always free to you. Let us do the heavy lifting and handle ...Show moreLast updated: 30+ days ago
    • Promoted
    Locum Physician (MD / DO) - Internal Medicine - General / Other in Cedar Rapids, IA

    Locum Physician (MD / DO) - Internal Medicine - General / Other in Cedar Rapids, IA

    LocumJobsOnlineDavenport, US
    Full-time +1
    LocumJobsOnline is working with CompHealth to find a qualified Internal Medicine MD in Cedar Rapids, Iowa, 52404!.CompHealth services are always free to you. Let us do the heavy lifting and handle t...Show moreLast updated: 30+ days ago
    Supervisor Inpatient Coding

    Supervisor Inpatient Coding

    Moffitt Cancer CenterTampa, Florida, United States
    Full-time
    Quick Apply
    Moffitt Cancer Center in Tampa, FL is recruiting for SUPERVISOR INPATIENT CODING.For Florida residents and other select states (AL, AZ, AR, FL, GA, ID, IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, S...Show moreLast updated: 30+ days ago
    • Promoted
    Billing and Coding Specialist

    Billing and Coding Specialist

    Humanitary Medical CenterTampa, FL, United States
    Full-time
    Humanitary Medical Center, Inc.Medical Coding Specialist to enter billing and coding information.They are responsible for ensuring that patient records have the correct codes and managing insurance...Show moreLast updated: 6 days ago
    • Promoted
    Medical Reimbursement

    Medical Reimbursement

    AkuminTampa, FL, United States
    Full-time
    EOB and other forms received through the lockbox to the Medical Billing system.Completes spreadsheets and balances work on a daily basis and resolves credit balances on the Medical Billing system v...Show moreLast updated: 1 day ago
    • Promoted
    Travel Cath Lab Tech - $1,776 to $1,946 per week in Sun City Center, FL

    Travel Cath Lab Tech - $1,776 to $1,946 per week in Sun City Center, FL

    AlliedTravelCareersSUN CITY CENTER, FL, US
    Full-time
    AlliedTravelCareers is working with AMN Healthcare Allied to find a qualified Cath Lab Tech in SUN CITY CENTER, Florida, 33573!. Job Description & Requirements.Cath Lab Technologist - (Cath Lab ...Show moreLast updated: 11 days ago