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About This Employer


As one of the nation's leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy.

 

We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania.  Nemours strives to ensure a healthier tomorrow for all children - even those who may never enter our doors - through our world-changing research, education and advocacy efforts.

 

At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.


Nemours Children's Health System

CITY :

ORLANDO

STATE :

FL

COUNTRY :

USA

ZIP CODE :

32827

JOB ID NUMBER :

100127340

POSTED :

11/30/2016

Coder, Health Information Management, 8am-5pm, Mon-Fri (Days, RHIT, RHIA, CCS)


Nemours Children's Health System


POSITION TYPE:  fulltime

JOB SUMMARY:


Coder, Health Information Management, 8am-5pm, Mon-Fri (Days, RHIT, RHIA, CCS)
Nemours is seeking a Coder (HIM), Full Time, Monday-Friday, 8 a.m. to 5 p.m., to join our Nemours Children's Hospital team in Orlando, Florida.

As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.

Located in Orlando, Florida, Nemours Children’s Hospital is the newest addition to the Nemours integrated health care system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids and outpatient pediatric clinics, including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in health care innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region.

Responsible for the facility coding and abstracting of all emergency department and hospital outpatient accounts according to established ICD-9-CM and CPT coding guidelines. The assigned codes are utilized for third-party reimbursement for services rendered at the Nemours Children's Hospital to maintain a clinical database to provide reports and to submit data to the Agency for Health Care Administration (i.e., State of Florida mandatory reporting).
  • Ability to read and comprehend the medical record to help identify all diagnoses, operations and procedures relevant to the current period.
  • Select, assign and sequence the appropriate ICD-10 diagnosis and PCS and CPT codes to patients’ current period of care according to established sequencing guidelines for optimal reimbursement for the emergency department and inpatients.
  • Abstract records in an accurate manner according to established procedures and guidelines. (i.e., attending physician, consults, dates of procedures, surgeon, point of origin, admission source and birth weight).
  • Contact the appropriate health care provider if there is inadequate information on which to base code assignment, or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible physician.
  • Enter Pending claims in the Abstracting Activity of Epic for reporting and follow-up.
  • Validate that each outpatient encounter has a provider order for the service prior to coding.
  • Use the Abstracting activity function in Epic to track missing orders.
  • Code outpatient/emergency department encounters of 125 daily; code 75 recurring rehabilitation encounters daily with a 95% accuracy rate.
  • Code 2.5 inpatients per hour. 
  • Demonstrate and incorporate a working knowledge of Epic for retrieval of clinical data for coding purposes, including comprehension of filing schema, Media tab and Office visit overlay for ordering.
  • Participate in continuous improvement training and working towards an “error-free” environment.
  • Understand and comply with Correct Coding Initiative edits for hospital/facility outpatient encounters.
  • Have good working knowledge of medical necessity rules, local coverage determination policies and any other payer-specific guidelines.

Requirements
  • Associate's degree required.
  • Certified Coding Associate (CCA) minimum with intent to secure CCS within 12 months/RHIT or RHIA.
  • Minimum of one (1) to three (3) years' inpatient/outpatient coding experience required.

Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.

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