APC Coordinator VirtualMaitland, FL

Ambulatory Payment Classification Coordinator

At AdventHealth Orlando, what started as a converted farmhouse in rural Central Florida has grown into Central Florida's major tertiary health care facility. Patients come from the Southeast, the Caribbean, and even as far as South America for our proven expertise and compassionate health care.

With a variety of Orlando hospital jobs, we invite you to start or elevate your career with a new job at AdventHealth Orlando. We constantly seek out Orlando nurses, medical assistants, nurse assistants, patient care, and health administration professionals who share our passion for whole-person health care. Learn more about our open positions and apply to become an invaluable part of our team.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind, and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam, and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

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

Schedule: Full Time

Shift: Days

Location: 900 Winderley Pl, Maitland, 32751

The community you'll be caring for: AdventHealth Orlando

• Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando
• Serves as the major tertiary facility for much of the Southeast, the Caribbean, and South America
• AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country
• We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

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 AdventHealth Central Florida South Division facilities. 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 a timely resolution of accounts discharged but not final billed and ensure we are billing clean claims. The APC Coordinator will assist in overseeing the outpatient coding queues, training, and education.

The value you'll bring to the team:

• Conducts retrospective and concurrent coding accuracy reviews as assigned by the supervisor, manager, and/or director.
• Reviews and resolves accounts in work queues, including claim edits, Discharged Not Billed (DNB) edits, combined accounts, and simple visit coding validations.
• Builds and maintains collaborative relationships with ancillary departments, Revenue Integrity, and Patient Financial Services to support the timely resolution of Discharged Not Final Coded (DNFC) accounts.
• Reviews and responds to third-party and regulatory agency requests, including quality studies and audit findings.

Qualifications

• High School Grad or Equiv Required
• 3 Work Experience Required
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT) - Cert Required
• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)

This facility is an equal opportunity employer and complies with federal, state, and local anti-discrimination laws, regulations, and ordinances.

Category: Health Information Management

Organization: AdventHealth Orlando

Schedule: Full-time

Shift: 1 - Day

Req ID: 25038831