Coder 3 Outpatient

Job ID
2020-133934
Employment Type
Full Time
Department
HIM Coding
Hours / Pay Period
80
Facility
St Josephs Medical Center
Shift
Day
Standard Hours
Tue - Sat 7-3:30p
Work Schedule
8 Hour
Location
CA-STOCKTON

Overview

St. Joseph's Medical Center is a member of Dignity Health. The word "dignity" perfectly defines what our organization stands for, showing respect for all people by providing excellent care. St. Joseph's Medical Center, was founded in 1899 under the direction of the Dominican Sisters of San Rafael, is a not for profit, fully accredited, regional hospital with 395 beds, a physician staff of over 400, and more than 2,400 employees. Specializing in cardiovascular care, comprehensive cancer services and women and children's services including neonatal intensive care. St. Josephs is the largest hospital as well as the largest private employer in Stockton, California. Nationally recognized as a quality lead, St. Josephs is consistently chosen as the "most preferred hospital" by local consumers.

Responsibilities

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..

Qualifications

Minimum Qualifications:

  • High School Diploma or equivalent.
  • Completion of an AHIMA or AAPC accredited coding certification program that includes courses that are critical to coding success such as Anatomy and physiology, pathophysiology, pharmacology, Anatomy I Physiology, Medical Terminology, and ICD-10 and CPT coding courses, etc..
  • Have and maintain current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H ).
  • Two years of coding and abstracting experience or an equivalent combination of education and experience required.
  • A minimum of 2 years of Outpatient medical coding experience (Same Day, Wound Ce, IVR, CVICR, Observation, etc.).*
  • Must have ICD-10 coding experience.
  • Ability to use a PC in a Windows environment, including MS Word and EMR systems
  • Ability to pass coding technical assessment.
    *One year of experience will be waived for those who have attended the Dignity Health Coding Apprenticeship Program.

Preferred Qualifications:

  • Experience with various Encoder systems (i.e., OptumCAC, Cemer).
  • Intermediate level of Microsoft Excel.
  • Experience with coding and charge validation.

This position is an on-site position, remote work option is not available.

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