Asst Mgr, Physician Coding

5 days ago


Orlando, United States Orlando Health Full time

Position Summary Has a clear understanding of the professional revenue cycle in its entirety, and is responsible overseeing the physician coding team, developing goals and objectives, and establishing policies and procedures for team operations, as well as ensuring proficiency, value and education related to professional coding guidelines. *Role is mostly remote, but must live within 2 hours of Orlando, FL for occassional onsite visits* Responsibilities Oversees and monitors coding of physician inpatient and outpatient encounters within Orlando Health. Assigns, prioritizes, and monitors respective staff workload. Mentors and effectively coaches individual team members by addressing errors, performance issues, and trends identified through reporting. Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices. Responsible for productivity standards, performance evaluations, personnel issues and staff development, core competencies, coaching plans and daily coaching for staff. Prepare/distribute information summarizing opportunities with physician charge management on a monthly basis . Determines whether services ordered by physicians and rendered to patients are accurately coded and billed, and supported by documentation in the clinical record through the auditing process. Maintains current knowledge of all physician billing, clinical, and all related systems for the production of billing and documentation policies and processes. Communicates cooperatively and constructively with physicians, physicians' office personnel, guests, patients, and members of the healthcare team. Interacts with Health Information Management, Physician & Professional Services, Patient Accounting, Information Services (IS), and other departments as necessary for appropriate follow-up. Reviews accounts for compliance held in GECB Transaction Editing System (TES) as appropriate. Requests additional diagnostic information on accounts from physicians' offices, ancillary areas, etc., as necessary to complete auditing functions. Develop ad-hoc reports as needed to analyze data to identify trends and take appropriate steps to assist resolving coding issues that impact physician charges and revenue. Possess proficient knowledge in Microsoft Office Word, Outlook, and PowerPoint, and moderate to expert knowledge with Microsoft Excel due to high volumes of data management and organization. Exceptional understanding of Orlando Health's EMR, PM, and charge management applications (Allscripts, GECB, GEMMS, Sunrise, Sovera, etc…). Collects data and provides reports to management as designated. Qualifications Education/Training Associate's degree required. Two (2) years of directly related work experience may substitute for the Associate's degree (in addition to the requirements listed in the Experience section). Completion of medical coding certificate program. Computer literacy, knowledge of Anatomy, Physiology and Medical Terminology required. Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better. Proficient experience in Microsoft Word and Excel or similar computer software is required. Licensure/Certification Must maintain one (1) of the following national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Tumor Registrar (CTR) through the American Health Information Management Association (AHIMA) Certified Medical Transcriptionist (CMT) through the Association for Healthcare Documentation Integrity (AHDI) Experience Four (4) years of medical coding experience within a physician practice or healthcare facility setting. Working knowledge of Medicare, Medicaid, managed care and commercial insurance reimbursement policies. Knowledge of CPT, HCPCS and ICD-9 and ICD-10 coding, and other third party billing rules, reimbursement, and coverageguidelines. Demonstrated relationship-building skills in a managed healthcare environment.

Education/Training Associate's degree required. Two (2) years of directly related work experience may substitute for the Associate's degree (in addition to the requirements listed in the Experience section). Completion of medical coding certificate program. Computer literacy, knowledge of Anatomy, Physiology and Medical Terminology required. Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better. Proficient experience in Microsoft Word and Excel or similar computer software is required. Licensure/Certification Must maintain one (1) of the following national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Tumor Registrar (CTR) through the American Health Information Management Association (AHIMA) Certified Medical Transcriptionist (CMT) through the Association for Healthcare Documentation Integrity (AHDI) Experience Four (4) years of medical coding experience within a physician practice or healthcare facility setting. Working knowledge of Medicare, Medicaid, managed care and commercial insurance reimbursement policies. Knowledge of CPT, HCPCS and ICD-9 and ICD-10 coding, and other third party billing rules, reimbursement, and coverageguidelines. Demonstrated relationship-building skills in a managed healthcare environment.

Oversees and monitors coding of physician inpatient and outpatient encounters within Orlando Health. Assigns, prioritizes, and monitors respective staff workload. Mentors and effectively coaches individual team members by addressing errors, performance issues, and trends identified through reporting. Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices. Responsible for productivity standards, performance evaluations, personnel issues and staff development, core competencies, coaching plans and daily coaching for staff. Prepare/distribute information summarizing opportunities with physician charge management on a monthly basis . Determines whether services ordered by physicians and rendered to patients are accurately coded and billed, and supported by documentation in the clinical record through the auditing process. Maintains current knowledge of all physician billing, clinical, and all related systems for the production of billing and documentation policies and processes. Communicates cooperatively and constructively with physicians, physicians' office personnel, guests, patients, and members of the healthcare team. Interacts with Health Information Management, Physician & Professional Services, Patient Accounting, Information Services (IS), and other departments as necessary for appropriate follow-up. Reviews accounts for compliance held in GECB Transaction Editing System (TES) as appropriate. Requests additional diagnostic information on accounts from physicians' offices, ancillary areas, etc., as necessary to complete auditing functions. Develop ad-hoc reports as needed to analyze data to identify trends and take appropriate steps to assist resolving coding issues that impact physician charges and revenue. Possess proficient knowledge in Microsoft Office Word, Outlook, and PowerPoint, and moderate to expert knowledge with Microsoft Excel due to high volumes of data management and organization. Exceptional understanding of Orlando Health's EMR, PM, and charge management applications (Allscripts, GECB, GEMMS, Sunrise, Sovera, etc…). Collects data and provides reports to management as designated.



  • Orlando, United States Orlando Health Full time

    Position Summary Performs, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that...


  • Orlando, Florida, United States Orlando Health Full time

    Job Title: Medical Coding Team Lead - Physician Revenue CycleAbout Us: Orlando Health is a leading healthcare organization dedicated to delivering exceptional patient care and improving the health of our community. We are seeking an experienced Medical Coding Team Lead to join our team and play a critical role in overseeing the physician coding process.Job...


  • Orlando, Florida, United States CENTRAL TEC SERVICE INC Full time

    Job DescriptionAt Central Tec Service Inc, we're seeking a skilled Clinical Coding Specialist to join our team. This is an exciting opportunity for a detail-oriented individual with expertise in medical coding and billing.The ideal candidate will have experience with ICD-10-CM, CPT-4, and HCPCS coding classification systems, as well as proficiency in medical...


  • Orlando, Florida, United States Orlando Health Full time

    Job Summary">We are seeking a skilled Medical Coding Specialist to join our team at Orlando Health. This is a challenging and rewarding opportunity for an experienced professional to lead the way in optimizing coding efficiency.">About the Role">The successful candidate will be responsible for analyzing and improving physician coding processes, ensuring...


  • Orlando, United States Sanitas Full time

    Job DetailsJob LocationOrlando - Ocoee - Orlando, FLDescription"Sanitas is a global healthcare organization expanding across United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to...


  • Orlando, Florida, United States Health Care Center for the Homeless Full time

    Job SummaryWe are seeking a skilled Medical Coding Specialist to join our team at the Health Care Center for the Homeless. As a key member of our coding department, you will be responsible for reviewing charges for patients and ensuring accurate reimbursement and compliance with regulatory requirements.Estimated Salary: $65,000 - $85,000 per year, depending...


  • Orlando, United States Valora Medical Group Full time

    *Due to being a fast-growing company, this position requires team collaboration onsite.**Valora Medical Group* is a visionary company focused on high-quality primary care services and consists of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family and we understand that...

  • Physician Coder I

    14 hours ago


    Orlando, United States Orlando Health Full time

    Position Summary Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Candidates are eligible to work remote from the listed states: FL, GA, AZ, TX, AL...


  • Orlando, United States UnitedHealth Group Full time

    **WellMed, part of the Optum family of businesses, is seeking a Nurse to join our team in Orlando, FL. Optum is a clinician-led care organization that is changing the way clinicians work and live.** **As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.** At Optum, you'll have the...


  • Orlando, United States UnitedHealth Group Inc. Full time

    WellMed, part of the Optum family of businesses, is seeking a Nurse to join our team in Orlando, FL. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical...


  • Orlando, Florida, United States AdventHealth Executives Full time

    At AdventHealth Executives, we are seeking a talented Executive Director of Physician Practice Operations to join our team.About the RoleThe Executive Director of Physician Practice Operations will be responsible for leading daily operations and strategic direction in partnership with physician and health system leaders. This role requires a strong...

  • Physician Advisor

    2 weeks ago


    Orlando, United States Health First Full time

    POSITION SUMMARY: The Physician Advisor is a key member of the Health First Hospital Division, responsible for ensuring high-quality patient care and efficient use of healthcare services. This role involves conducting case reviews, providing clinical guidance, and collaborating with medical staff to meet regulatory requirements and optimize patient...


  • Orlando, United States Orlando Health Full time

    Position Summary The Clinical Assistant Nurse Manager (CANM) isresponsible for leading the shift operations within the clinical setting to ensure delivery of high-quality care, exceptional customer experience, and optimal patient flow. In conjunction with the Department Nursing Operations Manager and the Assistant Nursing Operations Manager (ANOM); the CANM...


  • Orlando, FL, United States UnitedHealth Group Inc Full time

    Sr Clinical Coding RN ConsultantWellMed, part of the Optum family of businesses, is seeking a Nurse to join our team in Tampa, FL. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At...


  • Orlando, FL, United States UnitedHealth Group Inc Full time

    Sr Clinical Coding RN ConsultantWellMed, part of the Optum family of businesses, is seeking a Nurse to join our team in Orlando, FL. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At...


  • Orlando, United States Orlando Health Full time

    Position Summary The Clinical Assistant Nurse Manager (CANM) is responsible for leading the shift operations within the clinical setting to ensure delivery of high-quality care, exceptional customer experience, and optimal patient flow. In conjunction with the Department Nursing Operations Manager and the Assistant Nursing Operations Manager (ANOM); the CANM...


  • Orlando, United States Macy's Full time

    Macy’s is proudly America’s Department Store. There’s a reason we’ve been around for 160 years. Customers come to us for fashion, value and celebration. Macy’s is also known for giving back to our communities.Now is an exciting time to join Macy’s. The face of retail is changing, and change requires innovation. With endless opportunities, you can...


  • Orlando, United States Orchard , CO Full time

    Description Interventional Radiology Physician Veteran's Health Administration Orlando, Florida @Orchard LLC, is a subcontractor to the VA, assisting with various contract roles within the hospital system nationwide. We urgently need a Board-Certified Diagnostic Radiology Physician to support the VA's hospital facilities in Orlando, FL. About the role The...


  • Orlando, United States UCF Lake Nona Medical Center Full time

    DetailsClient Name UCF Lake Nona Medical Center Job Type Travel Offering Locums Profession Physicians Specialty Emergency Medicine Job ID 28474134 Job Title HBS - Locums: Emergency Medicine Physician- UCF Lake Nona Hospital Weekly Pay $11640.0 Shift DetailsShift Day - 8x5 - 09AM Scheduled Hours 40 Job Order DetailsStart Date 06/01/2024 End Date 08/24/2024...


  • Orlando, United States Adelphi Medical Staffing Full time

    Job Quick Facts: Specialty: Emergency Medicine NP/PA Job Type: Locum Tenens Facility Location: St. Johns MI Service Setting: Inpatient Reason For Coverage: Supplemental Coverage Period: Dec 1 2024 Ongoing Coverage Type: Clinical only Shift Schedule: 11a11p 2 shifts/week Patient Volume per day: 45 Patient Demographics:...