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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
Facility
Saint Marys Medical Center
Shift
Day
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
2020-103046
Department
HIM Coding
Facility
Mercy Medical Center Merced
Shift
Day
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
2020-103045
Department
HIM Coding
Facility
Mercy Medical Center Merced
Shift
Day
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.. mercedcoder
Job ID
2020-103044
Department
HIM Coding
Facility
Mercy Medical Center Merced
Shift
Day
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
Facility
Saint Marys Medical Center
Shift
Day
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
Facility
Saint Marys Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-SAN FRANCISCO
Job 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.   - 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
2020-96194
Department
HIM Coding
Facility
Community Hospital of San Bernardino
Shift
Day
Employment Type
Full Time
Location
CA-San Bernardino
Job 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.   - 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.. bkrsfldcoder
Job ID
2020-96091
Department
HIM Coding
Facility
Mercy Hospital Bakersfield
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
Position Summary:   The Coder reviews, analyzes, and approves codes for diagnostic and procedural information that determines Medicare, Medi-Cal and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The Coder shall review ICD-10-CM, CPT and HCPCS codes against documented information for Dignity Health Medical Foundation clinical encounters. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete. Reviews necessary information from health records to identify proper and congruent relationships between procedure and diagnosis codes utilizing EndCoder systems, LCD's, NCD's and modifier relationships.    The Coder determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. The coder shall open lines of communication with the health care professional and resolve discrepancies in coding practices and provide education as needed. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code using both 1995 and 1997 CMS guidelines for auditing. Additional duties as assigned.  
Job ID
2020-139640
Department
Physician Coding
Facility
Dignity Health Medical Group Region
Shift
Day
Employment Type
Full Time
Location
CA-Rancho Cordova
Position Summary:   The Coder reviews, analyzes, and approves codes for diagnostic and procedural information that determines Medicare, Medi-Cal and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The Coder shall review ICD-10-CM, CPT and HCPCS codes against documented information for Dignity Health Medical Foundation clinical encounters. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete. Reviews necessary information from health records to identify proper and congruent relationships between procedure and diagnosis codes utilizing EndCoder systems, LCD's, NCD's and modifier relationships.    The Coder determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. The coder shall open lines of communication with the health care professional and resolve discrepancies in coding practices and provide education as needed. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code using both 1995 and 1997 CMS guidelines for auditing. Additional duties as assigned.  
Job ID
2020-139638
Department
Physician Coding
Facility
Dignity Health Medical Group Region
Shift
Day
Employment Type
Full Time
Location
CA-Rancho Cordova
Coder 1 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.
Job ID
2020-132330
Department
HIM Coding
Facility
Marian Regional Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-SANTA MARIA
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
Facility
St Rose Dominican - Siena
Shift
Day
Employment Type
Full Time
Location
NV-HENDERSON
Position Summary: The Coder II reviews, analyzes, and approves codes for diagnostic and procedural information that determines Medicare, Medi-Cal and private insurance payments. The primary function of this position is to perform ICD-9-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The Coder II shall review ICD-9-CM, CPT and HCPCS codes against documented information for Dignity Health Medical Foundation clinical encounters. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete. Reviews necessary information from health records to identify proper and congruent relationships between procedure and diagnosis codes utilizing EndCoder systems, LCD's, NCD's and modifier relationships. The coder determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. The Coder II shall open lines of communication with the health care professional and resolve discrepancies in coding practices and provide education as needed. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code using both 1995 and 1997 CMS guidelines for auditing. Presents audit results to physicians for education and training purposes. Analyzes Claims Scrubber edits and researches discrepancies. Additional duties as assigned.
Job ID
2020-136688
Department
Physician Coding
Facility
Dignity Health Medical Group Region
Shift
Day
Employment Type
Full Time
Location
CA-Rancho Cordova
Position Summary: The Coder II reviews, analyzes, and approves codes for diagnostic and procedural information that determines Medicare, Medi-Cal and private insurance payments. The primary function of this position is to perform ICD-9-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The Coder II shall review ICD-9-CM, CPT and HCPCS codes against documented information for Dignity Health Medical Foundation clinical encounters. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete. Reviews necessary information from health records to identify proper and congruent relationships between procedure and diagnosis codes utilizing EndCoder systems, LCD's, NCD's and modifier relationships. The coder determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. The Coder II shall open lines of communication with the health care professional and resolve discrepancies in coding practices and provide education as needed. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code using both 1995 and 1997 CMS guidelines for auditing. Presents audit results to physicians for education and training purposes. Analyzes Claims Scrubber edits and researches discrepancies. Additional duties as assigned.
Job ID
2020-135600
Department
Physician Coding
Facility
Dignity Health Medical Group Region
Shift
Day
Employment Type
Full Time
Location
CA-Rancho Cordova
Position Summary: The Coder II reviews, analyzes, and approves codes for diagnostic and procedural information that determines Medicare, Medi-Cal and private insurance payments. The primary function of this position is to perform ICD-9-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The Coder II shall review ICD-9-CM, CPT and HCPCS codes against documented information for Dignity Health Medical Foundation clinical encounters. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete. Reviews necessary information from health records to identify proper and congruent relationships between procedure and diagnosis codes utilizing EndCoder systems, LCD's, NCD's and modifier relationships. The coder determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. The Coder II shall open lines of communication with the health care professional and resolve discrepancies in coding practices and provide education as needed. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code using both 1995 and 1997 CMS guidelines for auditing. Presents audit results to physicians for education and training purposes. Analyzes Claims Scrubber edits and researches discrepancies. Additional duties as assigned.
Job ID
2020-127736
Department
Physician Coding
Facility
Dignity Health Medical Group Region
Shift
Day
Employment Type
Full Time
Location
CA-Rancho Cordova
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.
Job ID
2020-132331
Department
HIM Coding
Facility
Marian Regional Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-SANTA MARIA
Coder 3 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.
Job ID
2020-132351
Department
HIM Coding
Facility
Marian Regional Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-SANTA MARIA
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
Facility
St Rose Dominican - Siena
Shift
Day
Employment Type
Full Time
Location
NV-HENDERSON
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.
Job ID
2020-132353
Department
HIM Coding
Facility
Marian Regional Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-SANTA MARIA
- Under general supervision of the Communications Supervisor, the communications attendant is responsible as a team member to establish and maintain courteous and efficient telephone service. - According to specified procedure to Answer incoming, outgoing, and inter-hospital calls; take and relay messages for department manager; assist in emergency situations; use a variety of office equipment including PC, fax machine, printer, two-way radio system; voice paging; various beeper systems; cellular phones, and Medical Center phones. - Clerical and other duties as assigned. - This position requires the full understanding and active participation in fulfilling the Mission of St. Bernardine Medical Center. - It is expected that the employee will demonstrate behavior consistent with the Core Values. - The employee shall support St. Bernardine Medical Center's strategic plan and the goals and direction of the quality improvement/process improvement activities
Job ID
2020-126882
Department
Telecommunications
Facility
St Bernardine Medical Center
Shift
Evening
Employment Type
Seasonal/Casual/OnCall/Supplemental
Location
CA-SAN BERNARDINO
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