Coding Specialist II - Physician Services

Halifax Health is seeking a Coding Specialist II for the PBFS - Physician Services Department.

The Physician Coding Specialist is responsible for coding and auditing physician documentation and will work directly with Physicians and Mid-level providers to provide feedback on documentation and coding accuracy. The Physician Coding Specialist is responsible for reviewing patient medical records and extracting all applicable ICD10 and CPT codes for billing purposes.

• Minimum two (2) year college coding course including anatomy, physiology, medical terminology, CPT-4, HCPCS and ICD-10-CM
  CPC or Bachelor’s degree and equivalent coding credential required
• Minimum three (3) years of relevant physician coding and/or auditing experience required.
• Must pass Halifax Health issued physician coding specialist II examination.
• Knowledge of Local Coverage Determinations and National Coverage Determinations (LCD/NCD) medical necessity requirements
• Knowledge of regulatory and third party payer requirements
• Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required
• The ability to organize, prioritize, analyze, and implement daily tasks; must be a self-starter
• The ability to handle multiple responsibilities and tasks in stressful situations
• The ability to maintain confidentiality; knowledge of HIPAA laws

• Performs chart reviews for professional fee claims for appropriate code assignment.

• Interacts independently with providers to review audit findings.

• Comply with changes in regulatory requirements such as changes to government billing policies and instructions.

• Provide education regarding level of service and diagnosis coding consistent with established coding guidelines and standards to providers.

• Perform work in accordance to internal standards

• All other duties as assigned and consistent with the Job Summary

Recognized as one of the 50 Top Cardiovascular Hospitals™ in the United States by IBM Watson Health™, Halifax Health serves Volusia and Flagler counties, providing a continuum of health care services through a network of organizations including a tertiary hospital, two community hospitals, urgent care clinics, psychiatric services, a cancer treatment center with five outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, outpatient rehabilitation clinics, primary care walk-in clinics, a clinic specializing in women’s health, a pediatric care community clinic, five pediatric medical practices, a home health care agency and an exclusive provider organization. Halifax Health offers the area’s only Level II Trauma Center, Thrombectomy-Capable Stroke Center (TSC), Center for Transplant Services, Pediatric Intensive Care Unit, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level III Neonatal Intensive Care Unit that cares for babies born earlier than 28 weeks. For more information, visit halifaxhealth.org.