Coder II

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.

As a Coder II, you will review and process complex specialty clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical group physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.

Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards.

To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time.

Essential functions include:

• Applies coding principles consistent with government regulatory standards, payer specific guidelines and DHMF policy
• Codes complex office, surgical and hospital professional charges for assigned providers
• Reviews all ICD, E&M, CPT and HCPCS codes to ensure documentation supports all services rendered
• Queries providers, as needed, when encounters lack clear documentation or there is missing documentation in the medical record
• Provides education to physicians and providers on coding and documentation, as needed
• Assists clinic and other department staff with coding related questions pertaining to assigned providers

***This position is remote.

Minimum Qualifications:

- 2 years of professional fee coding experience
- High school diploma or equivalent
- CPC or CCS-P Certification

Preferred Qualifications:

- Two (2) years of surgical fee coding experience preferred.
- GECB/IDX and Cerner preferred