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Franciscan Medical Group, a part of Virginia Mason Franciscan Health, is currently seeking a full-time REMOTE Auditor Coder Specialist for the Franciscan Coding department. Flexible work schedule and no weekends or organizationally recognized holidays required.    Job Summary: This job is responsible for auditing internal and external coding documentation to assure appropriate reimbursement in compliance with applicable federal and state laws and the program requirements of federal, state and private health plans. Work includes identifying missed billing opportunities and coordinating the correction or appeal of denied claims. Through the audit process, an incumbent identifies compliance issues (e.g. cloning risks), analyzes practice patterns and recommends appropriate procedural changes or Epic coding edits. An incumbent also maintains the internal auditing software application by entering accurate and complete provider audits and collaborates with other coding staff to share concerns and trends in audit findings. Also fields call from the coding E/M helpline, providing basic information/feedback in response to coding-related questions, concerns and regulations. Work is performed in collaboration with professional peers to ensure effectiveness of the coding education and with coding management to ensure risks are timely identified and prioritized across the revenue cycle function.   Essential Duties: - Performs internal audits and billing compliance reviews in accordance with established production and quality measures. - Assesses provider E/M profiles, previous reviews, analyzes practice patterns, identifies missed billing opportunities and assures compliance with all regulatory guidance. - Reviews findings from any past audits (scheduled or non-scheduled) or other sources (e.g. recap e-mails, audit documentation from internal auditing software) that provide relevant training/educational information. - Determines, based on established procedures, the status change of the risk(s) identified from previous audits. - Enters the results of coding audits performed in the internal auditing software application; enters additional information as appropriate to document trends and/or update findings; sends audit results to stakeholders, along with summary of findings. - Corrects or appeals denied claims based on assignment. - Notifies Coding Compliance Auditor/Educator of concerns or findings. - Assists in the development of educational materials based on trends or risk areas and in determining the effectiveness of training provided. - Assists in the development of any action plans to address matters such as minimizing/preventing potential risk, gaining billing opportunities, improving provider documentation, etc. - Makes recommendations for Epic edits and/or process changes. - Answers the Coding Helpline. - Responds to questions from providers, managers, billing office and other stakeholders with official references via email or telephone relating to CPT and ICD-10-CM coding, rules and regulations, reimbursement and documentation requirements. - Maintains project work lists and auditing software application in accordance with established procedures. - Performs related duties as required. #MISSIONCRITICAL
Job ID
2021-176578
Department
Physician Coding
Shift
Day
Facility / Process Level : Name
CHI Franciscan Medical Group
Employment Type
Full Time
Location
WA-TACOMA
Expectations: - Interfaces with patients in professional and courteous mannerism. - Handles patient medical records in confidential mannerism. - Completes red-out guide, pulls patient chart and takes chart along with phone message to appropriate. - Assists all request made in medical record department per director request if other employees need assistance or physician and nursing staff request assistance.
Job ID
2021-168651
Department
Cardiology Clinic
Shift
Varied
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Per Diem
Location
AR-LITTLE ROCK
Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently looking for a full-time remote Charge Capture Representative for the Franciscan Coding department. No weekends or organizatinally recognized holidays required.     Job Summary: This job is responsible for reviewing encounters in the practice management system (e.g. Epic) and making corrections as needed in accordance with applicable guidelines. Work also includes inputting encounters and other source documents received from clinics in an accurate, compliant and timely manner. An incumbent engages in various charge capture tasks/initiatives to ensure charges are entered, edited and billed in a timely and efficient manner in order to maximize revenues and serves as a resource to other staff and RBO departments for complex charge review/entry issues. Work requires considerable understanding of CPT and diagnosis codes, ICD-9/10 coding, anatomy and physiology as it relates to the medical field. Effective troubleshooting skills are required to facilitate consultation with multiple team members to address and resolve issues having a potential impact on revenues. Essential Duties: - Reviews encounters that are in charge review work queues and makes corrections or code additions as appropriate in accordance with applicable guidelines. - Inputs encounter data and other clinic-generated source documents into the practice management system in accordance with applicable guidelines and quality/production standards. - Anticipates potential areas of concern within the charge capture function; notifies lead/manager of ongoing process issues or concerns beyond designated scope of authority to rectify independently; assists with unusual, unprecedented and/or escalated issues as necessary.
Job ID
2021-182230
Department
Physician Coding
Shift
Day
Facility / Process Level : Name
CHI Franciscan Medical Group
Employment Type
Full Time
Location
WA-TACOMA
***Please note:  This is a temporary, non-benefitted position, lasting up to 6 months.   Position Summary:   Under the direction of the Health Information Coding Supervisor, the Coder is responsible for identifying, managing and coordinating data entry of CPT, HCPCS, and ICD-10-CM codes on a daily basis per Woodland Healthcare policy. The Coder will instigate correct claim forms and patient statements, working with providers and other departments. This position services as the provider liaison relating to coding, billing and documentation guidelines set forth by HCFA and the AMA.    
Job ID
2021-165141
Department
Business Office - Coding / Data Entry
Shift
Day
Facility / Process Level : Name
Woodland Clinic Medical Group
Employment Type
Temporary
Location
CA-Woodland
1. Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. 2. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. 3. Review patient medical record to compare documentation and coding; change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Communicate with provider to resolve claims that require a written appeal or second level appeal. 4. Resubmits claims with necessary information when requested through paper or electronic methods. 5. Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. 6. Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. 7. Resolves work queues according to the prescribed priority and/or per the direction of management and in accordance with policies, procedures and other job aides. 8. Assists with unusual, complex or escalated issues as necessary. 9. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. 10. Accurately documents patient accounts of all actions taken in billing system.
Job ID
2021-170776
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
CHI Health Clinic
Employment Type
Full Time
Location
NE-OMAHA
Position Summary: The Coder I 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 Ancillary admissions. - Review provider documentation to determine the reason for the visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed. - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information  Management Association (AHIMA) and adheres to official coding guidelines. Assists with OSHPD correction. - 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..
Job ID
2021-152141
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Medical Center Merced
Employment Type
Full Time
Location
CA-MERCED
Position Summary: The Coder I 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.   - Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Ancillary admissions. - Review provider documentation to determine the reason for the visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed. - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information  Management Association (AHIMA) and adheres to official coding guidelines. Assists with OSHPD correction. - 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..
Job ID
2020-133929
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mark Twain Medical Center
Employment Type
Full Time
Location
CA-SAN ANDREAS
Job Summary:   This position is an on-site position, remote work option is not available. The Coder I 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.   - Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Ancillary admissions. - Review provider documentation to determine the reason for the visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed. - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information  Management Association (AHIMA) and adheres to official coding guidelines. Assists with OSHPD correction. - 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..
Job ID
2020-96333
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Saint Marys Medical Center
Employment Type
Full Time
Location
CA-SAN FRANCISCO
Job Summary:   This position is an on-site position, remote work option is not available. The Coder I 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.   - Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Ancillary admissions. - Review provider documentation to determine the reason for the visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed. - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information  Management Association (AHIMA) and adheres to official coding guidelines. Assists with OSHPD correction. - 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..
Job ID
2020-96331
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Saint Marys Medical Center
Employment Type
Full Time
Location
CA-SAN FRANCISCO
Position Summary:   The Coder II 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 ED admissions. - Can code ancillary charts if needed. - Review provider documentation to determine the reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related· questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. - Assists with OSHPD correction. - 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..
Job ID
2021-166786
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Bakersfield Memorial Hospital
Employment Type
Full Time
Location
CA-BAKERSFIELD
Position Summary:   The Coder II 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 ED admissions. - Can code ancillary charts if needed. - Review provider documentation to determine the reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related· questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. - Assists with OSHPD correction. - 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..
Job ID
2021-160078
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Hospital Bakersfield
Employment Type
Full Time
Location
CA-Bakersfield
Position Summary:   The Coder II 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 ED admissions. - Can code ancillary charts if needed. - Review provider documentation to determine the reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related· questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. - Assists with OSHPD correction. - 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..
Job ID
2021-152143
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Medical Center Merced
Employment Type
Full Time
Location
CA-MERCED
Position Summary:   The Coder II 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 ED admissions. - Can code ancillary charts if needed. - Review provider documentation to determine the reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related· questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. - Assists with OSHPD correction. - 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..
Job ID
2021-152142
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Medical Center Merced
Employment Type
Full Time
Location
CA-MERCED
Position Summary:   The Coder II 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 ED admissions. - Can code ancillary charts if needed. - Review provider documentation to determine the reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related· questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. - Assists with OSHPD correction. - 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..
Job ID
2021-152138
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Hospital Bakersfield
Employment Type
Full Time
Location
CA-Bakersfield
Position Summary:   The Coder II 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 ED admissions. - Can code ancillary charts if needed. - Review provider documentation to determine the reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines. - Provide documentation feedback to providers, as needed - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets established KPI's. - Serve as a resource for coding related· questions as appropriate. - Meet performance and quality standards at the Coder I level. - Participate in department meetings and educational events. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. - Assists with OSHPD correction. - 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..
Job ID
2020-121303
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mark Twain Medical Center
Employment Type
Full Time
Location
CA-SAN ANDREAS
Position Summary: The Coder III 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 Same Day Surgery, Wound Care, IVR, CIVR (specialty), Observation admissions following official coding guidelines. - Can also code ancillary and/or emergency department charts if needed. - Review provider documentation to determine the reason for the visit, first listed and secondary diagnosis and surgical procedures. - Provide documentation feedback to providers, as needed, and queries physicians when appropriate. - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS as appropriate, and CPT-4 for procedures. - Ensure accurate coding by clarifying diagnosis and procedural information through an established query process if necessary. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets KPl's. - Serve as a resource for coding related questions as appropriate. - Meet performance and quality standards at the Coder II 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. - Assists with OSHPD correction. - Participate in department meetings and educational events. - 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..
Job ID
2020-133934
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
St Josephs Medical Center
Employment Type
Full Time
Location
CA-STOCKTON
Job Summary:   This position is an on-site position, remote work option is not available. The Coder III 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. - Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Same Day Surgery, Wound Care, IVR, CIVR (specialty), Observation admissions following official coding guidelines. - Can also code ancillary and/or emergency department charts if needed. - Review provider documentation to determine the reason for the visit, first listed and secondary diagnosis and surgical procedures. - Provide documentation feedback to providers, as needed, and queries physicians when appropriate. - Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS as appropriate, and CPT-4 for procedures. - Ensure accurate coding by clarifying diagnosis and procedural information through an established query process if necessary. - Extract required information from source documentation and enter into encoder and abstracting system. - Review documentation to verify and when necessary, correct the patient disposition upon discharge. - Prioritize work to ensure the timeframe of medical record coding meets KPl's. - Serve as a resource for coding related questions as appropriate. - Meet performance and quality standards at the Coder II 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. - Assists with OSHPD correction. - Participate in department meetings and educational events. - 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..
Job ID
2020-96334
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Saint Marys Medical Center
Employment Type
Full Time
Location
CA-SAN FRANCISCO
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 DRGs - Abstract additional data elements during the chart review process when coding, as needed - Utilize 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 missing - Provide documentation feedback to Providers, as needed - Participate 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..
Job ID
2021-173958
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Hospital Bakersfield
Employment Type
Full Time
Location
CA-Bakersfield
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 DRGs - Abstract additional data elements during the chart review process when coding, as needed - Utilize 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 missing - Provide documentation feedback to Providers, as needed - Participate 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..
Job ID
2021-166788
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Bakersfield Memorial Hospital
Employment Type
Full Time
Location
CA-BAKERSFIELD
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 DRGs - Abstract additional data elements during the chart review process when coding, as needed - Utilize 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 missing - Provide documentation feedback to Providers, as needed - Participate 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..
Job ID
2021-164834
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Hospital Bakersfield
Employment Type
Full Time
Location
CA-BAKERSFIELD

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