Registered Nurse (RN) - Trauma
Lee Health
Cape Coral, FL
5x8 hrs, Days

Location: Remote - FL

Department: Coding

Work Type: Full Time

Shift: Shift 1/8:00:00 AM to 4:30:00 PM

Minimum to Midpoint Pay Rate: $20.50 - $27.85 / hour

This is a remote position. Incumbents, who reside in Florida only, may work remotely. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location.

Summary

Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures.. Follows procedures mandated by government and other payers for completion of coded data including APC assignments.

Includes inpatient E/M coding and clinic E/M coding as well as trauma surgery coding and bedside procedure coding. Experience required in at least E/M coding or trauma surgery coding.

Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records.

Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary records.

Requirements

Educational Requirements

Degree/Diploma ObtainedProgram of StudyRequired/
Preferredand/orHigh School Diploma or EquivalentRequired

Experience Requirements

Minimum Years RequiredArea of ExperienceRequired/
Preferredand/or1 YearOutpatient CodingRequired

Additional Requirements

1 Year of Outpatient (Acute Care Hospital or Physician) Multidisciplinary Coding and/or Provider E&M Level of Service Coding (Professional Fee Only).

State of Florida Licensure Requirements

LicensesRequired/
Preferredand/orNot Required

Certifications/Registration Requirements

Certificates/RegistrationsRequired/
Preferredand/orCPC (Certified Professional Coder)PreferredorCOC (Certified Outpatient Coding)PreferredorCPC-P (Certified Professional Coder-Payer)PreferredorCCS (Certified Coding Specialist)Preferredor

Additional Requirements

CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered Health Information Technician) required -or- RHIA (Registered Health Information Administrator) required. Minimum of one coding certification (listed above). Other specialty certifications from AAPC or AHIMA will be considered.

US:FL:Cape Coral