• Inpatient Coder I

    Job ID
    2018-59134
    Employment Type
    Full Time
    Department
    HIM Coding
    Hours / Pay Period
    80
    Facility
    Mercy Healthcare Sacramento
    Shift
    Varied
    Location
    RANCHO CORDOVA
    State/Province
    CA
    Standard Hours
    Varied
    Work Schedule
    8 Hour
  • Overview

    Dignity Health operates six hospitals in the Greater Sacramento Service Area - Mercy General Hospital, Mercy Hospital of Folsom, Mercy San Juan Medical Center, Methodist Hospital of Sacramento, Sierra Nevada Memorial Hospital and Woodland Memorial Hospital; as well as Mercy Home Health and Hospice, and Dignity Health Medical Foundation, which includes Mercy Medical Group, Woodland Clinic and Mercy Imaging Centers. Dignity Health is dedicated to providing compassionate, high-quality and affordable patient-centered care with special attention to the poor and underserved. In FY16, Dignity Health provided $2.2 billion in charitable care and services. For more information, please visit our website at dignityhealth.org/Sacramento. You can also follow us on Twitter @DignityHlthSac and Facebook.com/DignityHealthSacramento.

    Responsibilities

    Position Summary:

     

    The Greater Sacramento Service Area (GSSA) Inpatient Coder I is a regional position and the primary function of this position is performing coding and abstracting of inpatient and ambulatory records using the ICD-10-CM and ICD-10-PCS coding classification system and MS-DRG expertise. Inpatient Coder I responsibilities will cover all inpatient encounters under $100,000. Through the assignment of appropriate ICD-10-CM and ICD-10-PCS codes, the Inpatient Coder I will play a critical role in Dignity Health’s billing, internal and external reporting, research, and regulatory compliance efforts. The position works in a cooperative team environment to provide value to customers both internal and external to Dignity Health.

     

    Core Duties:

    • Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions
    • Review provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures
    • Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10-PCS procedures on accounts under $100,000
    • Ensure accurate coding by clarifying diagnosis and procedural information through a query process
    • Assign Present on Admission (POA) value for inpatient diagnoses
    • Extract required information from source documentation and enter into encoder and abstracting system
    • Identify non-payment conditions; Hospital Acquired Conditions (HAC) and when required, report through established procedures
    • Review documentation to verify and when necessary, correct the patient disposition upon discharge
    • Prioritize work to ensure timeframe of medical record coding meets regulatory requirements
    • Serve as a resource for coding related questions as appropriate
    • Meet performance and quality standards at the Inpatient Coder I level
    • Collaborate in the DRG Mismatch process with the Clinical Documentation Improvement team
    • 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

    Qualifications

    Minimum Qualifications:

    • High School Diploma or equivalent required
    • One year of relevant coding and abstracting experience or equivalent combination of education and experience required
    • Prior coding classes required. Applicants must have completed one of the following:
      • Anatomy / Physiology, Medical Terminology and ICD-10-CM / ICD-10-PCS coding courses conforming to American Hospital Association, American Medical Association, or CMS standards
      • An AAPC or AHIMA accredited coding certification program
    • Special skills required include:
      • Analytical / critical thinking; problem solving
      • Knowledge and application of ICD-10-CM, HCPCS and ICD-10-PCS classification and high ethical standards
      • Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels
      • Knowledge of information privacy laws, access, release of information, and release control technologies
      • Knowledge of hospital protocols and procedures
      • Working knowledge of functional relationships between departments within a healthcare or similar environment
      • Knowledge of JCAHO, HIPAA, HCFA, Title 22, security principles, guidelines, and standard healthcare practices
      • Demonstrated competence with personal computers, networks, and Microsoft Office

    Preferred Qualifications:

    • CCS, CCS-P, RHIT, or RHIA is preferred

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