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This position manages the gross revenue activities for the clinic, including RVU review, Charge Audit, report preparation, HCPCS audits and reconciliation procedures, QA monitoring tool, and assistance with revenue-based statistics and related issues. Also responsible for charge capture processes, charge audit and subsequent charge review post procedure, and other duties/projects related to charge/revenue of the clinic as assigned. Is expected to perform duties in alignment with the mission and policies of the organization. Performs duties in support of and in compliance with the performance improvement plan, JCAHO and other licensing, accrediting and regulatory agencies. Conducts a daily review of electronic appointment scheduling system for routine visits, screenings, diagnostic testing, and procedures to confirm all patients' status has been updated to either arrived, canceled or no show; collaborates with the Clinic Operations Specialist to update any appointments that still show as scheduled. Responsible reviewing all billing tickets to ensure procedure and diagnosis codes (CPT/ICD-9) match the documentation and follows up with appropriate staff to review and correct any deficiencies. Reconciles the appointment schedule with completed billing tickets to ensure there is a corresponding billing ticket for all arrived patients. Reviews electronic and/or paper medical records to ensure all Physicians, Allied Health Providers and Registered Nurses have completed their documentation on a daily basis and that the coding matches the documentation. Proactively follows up with Physicians and Allied Health Providers and Registered Nurses to ensure any incomplete medical records are completed, signed and dated. Responsible for charge entry in the hospital billing system on a daily basis ensuring the entry reflects the completed facility billing ticket documentation; reviews charge posting reports to reconcile and confirm all charges are entered correctly and/or credit duplicate entry's and add missing charges consistent with clinical documentation. Develops and maintains an electronic filing system for all facility billing tickets. Assists with daily collections reconciliation; reviews all professional collections and hand delivers to each respective physician. Ensures all facility collections are delivered to the designated location at California Hospital Medical Center on a daily basis. Coordinates and manages all calls from patients regarding billing issues and/or concerns. Greets every patient in a warm, friendly, professional and courteous manner. Is proactive and dedicated to problem-solving and providing sound resolutions; facilitates and acts as a liaison with any callers regarding facility and professional billing. Collaborates and assists staff with calls regarding self-pay for services not covered by insurance. Provides approved charges for services, ensures financial agreements are signed and collects payments. Issues receipts and ensures all payments are entered in hospital's billing system and the electronic Health record and department logs as needed. Provides administrative support to the Operations Manager and Senior Director. Collaborates with the Senior Director, Operations Manager, and Revenue Cycle Manager to ensure Charge Description Master (CDM) are kept current and/or CDM is created for new services as they arise. Provides coverage for incoming calls, scheduling patients for appointments and surgery. Organizing and scanning paper medical records into the electronic health record. Collaborates with the Health Information Department to ensure that any missing documentation (i.e. In/Outpatient Surgery) is completed as soon as possible to ensure physicians are not suspended and/or minimal delay in records being coded and processed for billing by HIM staff.
Job ID
2020-139943
Department
Women's Health Services Clinic
Facility
California Hospital Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-LOS ANGELES
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.   - 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 ID
2020-133929
Department
HIM Coding
Facility
Mark Twain Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-SAN ANDREAS
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 ID
2020-103040
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 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 ID
2020-96333
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 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 ID
2020-96331
Department
HIM Coding
Facility
Saint Marys Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-SAN FRANCISCO
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
2020-121303
Department
HIM Coding
Facility
Mark Twain Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-SAN ANDREAS
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
2020-103043
Department
HIM Coding
Facility
Mercy Medical Center Merced
Shift
Day
Employment Type
Full Time
Location
CA-MERCED
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 ID
2020-103042
Department
HIM Coding
Facility
Mercy Medical Center Merced
Shift
Day
Employment Type
Full Time
Location
CA-MERCED
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
Job ID
2020-96093
Department
HIM Coding
Facility
Mercy Hospital Bakersfield
Shift
Day
Employment Type
Full Time
Location
CA-Bakersfield
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 ID
2020-133934
Department
HIM Coding
Facility
St Josephs Medical Center
Shift
Day
Employment Type
Full Time
Location
CA-STOCKTON
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..
Job ID
2020-96182
Department
HIM Coding
Facility
St Mary Medical Center - Long Beach
Shift
Day
Employment Type
Full Time
Location
CA-LONG BEACH
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

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