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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
2021-163921
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
California Hospital Medical Center
Employment Type
Full Time
Location
CA-LOS ANGELES
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
2021-160079
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
2021-152146
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Medical Center Merced
Employment Type
Full Time
Location
CA-MERCED
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
2021-152145
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Medical Center Merced
Employment Type
Full Time
Location
CA-MERCED
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
2021-152144
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Mercy Medical Center Merced
Employment Type
Full Time
Location
CA-MERCED
Job Summary:   This position is an on-site position, remote work option is not available. 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.   - 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
2020-96328
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 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.   - 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
2020-96326
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
Saint Marys Medical Center
Employment Type
Full Time
Location
CA-SAN FRANCISCO
The Denials Coder is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials. If you are a proactive problem-solver with an impeccable attention to detail, we want to hear from you!   What you’ll do: - Follow-up with insurance payers to research and resolve unpaid insurance accounts receivable; making necessary corrections in the practice management system to ensure appropriate reimbursement is received. - Leverage work queues to organize your work efficiently.  - Review insurance remittance advices, research denial reasons and resolve issues through well-written appeals. - Effectively explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - 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. - Resubmit claims with necessary information when requested through paper or electronic methods. - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognize when additional assistance is needed to resolve insurance balances and escalate appropriately and timely. 
Job ID
2021-179371
Department
Business Office - Coding / Data Entry
Shift
Day
Facility / Process Level : Name
CHI Health Clinic
Employment Type
Full Time
Location
NE-OMAHA
REMOTE OPPORTUNITY AFTER 6 MONTH TRAINING PERIOD!Job Summary / Purpose Under direct supervision, this position is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements.  The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently.  Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. - 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. - 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. - 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. - Resubmits claims with necessary information when requested through paper or electronic methods. - Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify. - Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels. - 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. - Assists with unusual, complex or escalated issues as necessary. - 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. - Accurately documents patient accounts of all actions taken in billing system. - Other duties as assigned by management.
Job ID
2021-160268
Department
Revenue Services - ICD10
Shift
Day
Facility / Process Level : Name
CHI Health Clinic
Employment Type
Full Time
Location
NE-OMAHA
Expectations:   - Ability to identify through chart review the correct principal and/or secondary diagnosis and may also require: - Ability to identify through chart review the correct principal and/or secondary  procedures .  - The correct information pulled from/abstracted from clinical records - The correct assignment of DRG - The correct CPT and ICD-9 assignment on outpatient charts - The correct information abstracted for generic quality assurance screens - The ability to code in absence of another coder - The ability to answer technical questions regarding coding - The performance of related responsibilities as required or assigned - Maintains confidentiality of clinical information from patient record - Stays current on latest coding compliance information for inpatient and/or outpatient records - May require knowledge and ability to use 3M Coding system        - Notifies manager or other appropriate persons of problems - Ability to investigate errors and resolutions - Provides frequent and clear performance feedback to staff based on individual needs and job requirements and may include: - The ability to communicate with physicians as needed regarding diagnosis and/or procedures in medical records - The ability to communicate with patients regarding coding issues - The ability to communicate with other hospital staff as needed - Providing education and direction to physicians and providers on Medicare, Medicaid and commercial insurance billing requirements - Correct keying of codes into the computer - The performance of related responsibilities as required or assigned
Job ID
2021-160457
Department
Cardiology Clinic
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
The Coder I is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty.  The Coder I is able to work independently with limited oversight and may require directions from supervisor or more senior co-workers on complex cases. Essential Key Job Responsibilities - Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines. - Communicates professionally with providers, practice management, and other stake holders either verbally or in writing. - Responsible for working encounters in the coding work queue or task lists in a timely manner. - Meets or exceeds organizational coding production and quality standards. - Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits. - Reviews and resolves coding denials. - Participates in special projects and completes other duties as assigned
Job ID
2021-176267
Department
Business Office - Coding / Data Entry
Shift
Day
Facility / Process Level : Name
Mountain Management Services
Employment Type
Full Time
Location
TN-CHATTANOOGA
Expectations: - Document, assign, CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems - Organizational coding production and quality standards  - NCCI and MUE edits - Review and resolve coding denials - Professional communication 
Job ID
2021-176449
Department
Business Office - Coding / Data Entry
Shift
Day
Facility / Process Level : Name
Mountain Management Services
Employment Type
Full Time
Location
TN-CHATTANOOGA
Coder 2 is a member of the Health Information Management Team (HIM) 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. This position is represented by SEIU, Local 1107 and is covered by the terms and conditions of the applicable collective bargaining agreement.
Job ID
2020-104568
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
St Rose Dominican - Siena
Employment Type
Full Time
Location
NV-HENDERSON
Coder 2 is a member of the Health Information Management Team (HIM) 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. This position is represented by SEIU, Local 1107 and is covered by the terms and conditions of the applicable collective bargaining agreement.
Job ID
2020-104567
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
St Rose Dominican - Siena
Employment Type
Full Time
Location
NV-HENDERSON
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
2021-183020
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
St Bernardine Medical Center
Employment Type
Full Time
Location
CA-SAN BERNARDINO
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
2021-183019
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
St Bernardine Medical Center
Employment Type
Full Time
Location
CA-SAN BERNARDINO
***Please note:  This is a non-benefitted, on-call position.   Position Summary: The Coder II reviews and processes 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.
Job ID
2021-169949
Department
Physician Coding
Shift
Day
Facility / Process Level : Name
Dignity Health Medical Group Region
Employment Type
Seasonal/Casual/OnCall/Supplemental
Location
CA-Rancho Cordova
Coder 4 is a member of the Health Information Management Team (HIM) 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. This position is represented by SEIU, Local 1107 and is covered by the terms and conditions of the applicable collective bargaining agreement.
Job ID
2020-104569
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
St Rose Dominican - Siena
Employment Type
Full Time
Location
NV-HENDERSON
Job Summary / Purpose The Coder Lead acts as trainer, resource and mentor for other coders and staff.  Is responsible for coordinating the daily coding workflow in assignment of ICD-10 and CPT codes.  Monitors and assesses quality and production standards of coding staff.  Serves as a resource for complex coding/billing issues.  ESSENTIAL KEY JOB RESPONSIBILITIES - Train staff on processes, policies, coding, including new hire training and shadowing - Assists with coder continuing education; development and presentation - Daily coordination of coding staff assignments, volume, and workflow. - Performs coder quality reviews. - Acts as a subject matter expert and resource for staff, troubleshooting difficult problems and finding solutions. - Acts as a liaison between physicians and support staff to resolve issues involving coding, billing, and documentation requirements and procedures. - Provide input on employee evaluations. - Reporting- Charge lag weekly report out, Bi-weekly report out to clinics, quality reporting, production reporting, running special reporting as requested by clinic or revenue cycle leaders - Monitor Customer Service WQ for coding concerns - Fill in for coding when areas are short - Participates in special projects and completes other duties as assigned.
Job ID
2021-168203
Department
HIM Coding
Shift
Day
Facility / Process Level : Name
CHI Health Clinic
Employment Type
Full Time
Location
NE-OMAHA
Position Summary:   The Coding Department Auditor conducts internal audits on Coding Department staff to ensure services are entered into the billing system and coded per published guidelines correctly. Additionally, this position will complete audits on providers who are identified for possible clinical documentation improvement and provide education and feedback on areas identified through audit.
Job ID
2021-167813
Department
Physician Coding
Shift
Day
Facility / Process Level : Name
Dignity Health Medical Group Region
Employment Type
Full Time
Location
CA-Rancho Cordova

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