• APC Coordinator Virtual

    AdventHealth (Tampa, FL)


    All the benefits and perks you need for you and your family:

    Benefits from Day One

     

    Paid Days Off from Day One

     

    Career Development

     

    Whole Person Wellbeing Resources

     

    Mental Health Resources and Support

    Our promise to you:

    Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.

     

    **Schedule:** Full Time

    **Shift** :Days

    **Location:** 3100 East Fletcher Avenue Tampa, Florida 33613

    **The community you'll be caring for:** AdventHealth Division

     

    AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida, specializes in advanced cardiovascular medicine, neuroscience and neurology, digestive health, orthopedics, womens services, pediatrics, oncology, endocrinology, bariatrics, wound healing, sleep medicine and general surgery including minimally invasive and robot-assisted procedures. GME programs on the hospital campus currently include general surgery, obstetrics and gynecology, internal medicine and transitional year.

     

    AdventHealth Tampa is home to the renowned AdventHealth Pepin Heart Institute, a recognized leader in cardiovascular disease prevention, diagnosis, treatment and leading-edge research caring for Tampa Bays hearts for over 35 years.

     

    The Kiran C. Patel Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, advanced surgery and more contributing valuable knowledge that leads to tomorrows cures for conditions such as heart failure, cancer and other diseases.

    The role you'll contribute:

    The Ambulatory Payment Classification (APC) Coordinator is responsible for assigning, monitoring, and evaluating the assignment of CPT and HCPCS Level II procedure codes for grouping into Ambulatory Payment Classifications (APCs) and statistical reporting. Responsible for monitoring the outpatient APC reimbursement for all facilities in the West Florida Division. Monitoring and resolving APC edits to ensure all facilities are receiving accurate reimbursement under OPPS. The APC Coordinator may assist with monthly quality reviews, RAC and post-payment audits. Will routinely monitor the Federal Register and other sources of regulatory information to ensure the team is up to date on the latest Coding and payment updates. The APC Coordinator may assist in training outpatient coders on the appropriate resolution of NCCI edits. Work alongside members of the ancillary departments and revenue cycle team to obtain timely resolution of accounts discharged but not final billed as well as ensure we are billing clean claims. The APC Coordinator will assist in the oversight of the outpatient coding queues, training and education.

    The value you'll bring to the team:

    Reviews records for ICD-10-CM, CPT and overall coding accuracy retrospectively and concurrently as assigned by manager and/or Director..

     

    Reviews and addresses all third party/Regulatory Agencies requests for APC changes or quality studies.

     

    Reviews monthly pre-bill accounts for coding accuracy and reporting to Corporate for scorecard.

     

    Codes and abstract charts in accordance with ICD-10-CM conventions, applying coding rules applicable to AdventHealth West Florida Division and requirements of Medicare and payor specifications.

     

    Assign ICD-10-CM and CPT codes on chart in accordance with all UHDDS rules, ICD-10 Coding Conventions, CPT Assistant and approved coding policies and procedures.

    Qualifications

    The expertise and experiences you'll need to succeed:

    **Category:** Health Information Management

    **Organization:** AdventHealth Tampa

    **Schedule:** Full-time

    **Shift:** 1 - Day

    **Req ID:** 25028247

     

    We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.