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Coder IV Inpatient

Company: Mercy Healthcare
Location: Rancho Cordova
Posted on: November 22, 2022

Job Description:

Dignity Health, one of the nation's largest health care systems, is a 22-state network of more than 9,000 physicians, 63,000 employees, and 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. For more information, please visit our website at www.dignityhealth.org. You can also follow us on Twitter and Facebook.

This position is a remote position; however, the successful candidate must reside in the State of California. - Please check our website for other remote or non-remote coder opportunities in and outside of the State of California. -Coder IV Inpatient -Position Summary: -The Coder IV is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS, and other regulatory agencies. -Principle Duties and Accountabilities:Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions.Can also code ancillary, emergency department, same-day surgery, and observation charts if needed.Review provider documentation to determine the principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures following official coding guidelines.Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-IO-CM diagnoses, ICD-IO-PCS as appropriate, and CPT-4 for procedures.Understanding of ICD10 Coding in relation to DRGsAbstract additional data elements during the chart review process when coding, as neededUtilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10- CM diagnoses and ICD- IO-PCS procedures.Ensure accurate coding by clarifying diagnosis _and procedural information through an established query process if necessary.Assign Present on Admission (POA) value for inpatient diagnoses.Extract required information from source documentation and enter into encoder and abstracting system.Identifies non-payment conditions; Hospital-Acquired Conditions (HAC), Patient Safety Indicators (PSI) following, report through established procedures.Collaborate in the DRG Mismatch process with the Clinical Documentation Improvement team.Review documentation to verify and when necessary, correct the patient disposition upon discharge.Prioritize work to ensure the timeframe of medical record coding meets regulatory requirements.Serve as a resource for coding related questions as appropriate.Adhere to and maintain required levels of performance in both Coding accuracy and productivity.Review and maintain a record of charts coded, held, and/or missingProvide documentation feedback to Providers, as neededParticipate in Coding department meetings and educational events.Meet performance and quality standards at the Coder III level.Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle, including but not limited to charge validation, observation calculations, etc..We offer the following benefits to support you and your family:Health/Dental/Vision InsuranceFlexible spending accountsVoluntary Protection: Group Accident, Critical Illness, and Identity TheftAdoption AssistanceFree Premium Membership to Care.com with preloaded credits for children and/or dependent adultsEmployee Assistance Program (EAP) for you and your familyPaid Time Off (PTO)Tuition Assistance for career growth and developmentRetirement ProgramsWellness ProgramsLive/work anywhere in the State of California.Work directly with multiple facilities within the coding classification24/7 Business Operations w/flexible work schedulesMinimal weekend requirementsComputer equipment provided Business expense reimbursement, if applicable. Tremendous growth and skill enhancement opportunities to include apprenticeship programs and career laddersA compensation range of $84,000 to $95,000 is the reasonable estimate that CommonSpirit in good faith believes it might pay for this particular job based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility and more! -#missioncritical#caremotecoderproject#LI-REMOTE -

Minimum Qualifications: -High school diploma or equivalent.Have and maintain a current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H).Three years of relevant coding and abstracting experience or equivalent combination of education and experience required in an acute care hospital setting. -Minimum of 3 years of Inpatient medical coding experience (hospital, facility, etc.) -(One year of experience will be waived for those who have attended the Dignity Health Coding Apprenticeship Program.)Must have ICD-10 coding experience -Must have experience with DRG coding. -Analytical / Critical thinking and problem solving. -Knowledge and application of ICD-10-CM, ICD-10-PCS, HCPCS and CPT-4 classification systems. -Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels. -Knowledge of information privacy laws, access, release of information and release control technologies. -Knowledge of hospital protocols and procedures. -Working knowledge of functional relationships between departments within healthcare or similar environment. Knowledge of TJC, HIPPA, HCFA, Title 22, security principles, guidelines and standard healthcare practices. -Demonstrated competence with personal computers, networks and Microsoft Office (including MS Word) and EMR systems. -PreferredIntermediate level of Microsoft Excel.

Keywords: Mercy Healthcare, Rancho Cordova , Coder IV Inpatient, Other , Rancho Cordova, California

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