LRHPG Coder II - LRHPG-Coding

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 910 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

Under the direction of the Ambulatory Coding Quality Manager, 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 clinic encounters and hospital-based services for reimbursement and statistical purposes. Assures that the provider and clincial staff documentation in the medical record supports any information provided in the claims. Communicates with providers 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.

• 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.

• 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.

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

People At The Heart Of All 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.
  • Standard Work Duties: LRHPG Coder II
  • Reviews medical records to determine if diagnostic and procedure codes are acurately reflecting the provider documentation.
  • Assigns and sequences diagnostic and procedural codes and modifiers using appropriate classification systems and official coding guidelines.
  • Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM, CPT, and HCPCS codes and modifiers.
  • Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
  • Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
  • Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
  • Identifies and summarizes findings for internal and external parties to help providers improve their documentation and coding. Educates, trains, and provides assistance in a variety of ways to help providers and clinic staff close gaps in diagnoses and treatment opportunities.
  • Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
  • Reviews appropriate work queues/reports daily to address coding reviews, edits and corrections.
  • Assists healthcare providers and clincs in identifying and resolving issues related to incomplete or missing chart documentation, ambiguous or nonspecific documentation or codes that do not conform to regulatory guidelines.
  • Stewardship
  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.
  
  

Essential:

• Computer Experience, especially with computerized encoder products and computer-assisted coding applications as well as proficiency in computer usage including spreadsheet analysis and word processing (e.g. Microsoft Word and Excel).
• Ability to learn new computer applications quickly and independently and become a skilled user of the organization's technology. Demonstrated familiarity with a variety of practice management software including EHR(s).
• Knowledge of anatomy and physiology, pharmacology, and medical terminology.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
• Demonstrates adaptability and self-motivation by staying abreast of CMS rules and regulations and incorporating those changes into daily practice.

Essential:

• High School or Equivalent

• Associate Degree

Nonessential:

• Accredited HIM program

Other information:

Certifications Essential:
CPC, CCS-P, or CCS

Experience Essential: 2-5 years in a professional/ambulatory coding setting or acute care hospital outpatient coding experience.