Sr Coder

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.

***This position is remote.

Position Summary:

The Senior Coder (Sr. Coder) acts as the lead coder for their designated team. This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will monitor staff workload, audit coders, fill in for out of office coders, and make recommendations to Physician Coding leadership to help improve the efficiency of the team.

Responsibilities may include:
- Train all new coders on department policies, procedures and correct coding principles
- Provide routine education,training and auditing to their designated coding teams
- Analyze coder's workload and make recommendations to assigned supervisor to ensure all work is completed by the specified timeframes
- Research and provide guidance to coders and other DHMF/CSH staff on coding-related questions or concerns
- Create and update coder job aids to ensure staff have resource materials to correctly code all services provided to patients
- Assist coders with provider education and feedback to effectively and accurately code all services
- Review each encounter for appropriate CPT, Modifier, ICD, and HCPCS code assignments
- Review each encounter to ensure correct demographic information is located on each claim for an initial clean claim submission
- Query providers when clarifications to clinical documentation are needed
- Work with providers to capture all missing charges
- Ensure providers are completing their documentation prior to claim submission per DHMF policy
- When requested, work and analyze coding related denials to reduce outstanding accounts receivable
- When requested, review invoices for correct coding when patient billing disputes arise
- Work closely with Patient Financial Services staff to to meet all department goals
- Perform other duties as assigned

Minimum Qualifications:

• Three or more (3+) years of professional fee coding experience. Must have and maintain an in-depth knowledge of CPT, ICD and HCPCS coding guidelines
• CPC or CCS-P Certification
• High school diploma or equivalent

Preferred Qualifications:

• Prior lead coder experience preferred
• GECB/IDX and Cerner experience