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..
mercedcoder
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 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..
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..
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..
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..
mercedcoder
Job 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.
- 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..
bkrsfldcoder
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 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..
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..
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..
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 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 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 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
Position Summary:
The Coder I reviews and processes clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical group's physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.
Position Summary:
The Coder I reviews and processes clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical group's physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.
Position Summary:
The Coder I reviews and processes clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical group's physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.
Position Summary:
The Coder I reviews and processes clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical group's physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.
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.