Remote Medical Coder IV

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.

• Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions.
• Review provider documentation to determine the principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures following official coding guidelines.
• Utilize technical coding principles and APC reimbursement expertise to assign appropriate ICD-IO-CM diagnoses, ICD-IO-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.
• Identify 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.

• High School Diploma or equivalent.
• Completion of an AHIMA or APPC accredited coding certification program that includes courses that are critical to coding success such as Anatomy and physiology, pathophysiology, pharmacology, Anatomy I Physiology, Medical Terminology, and ICD-10 and CPT coding courses, etc.
• Have and maintain current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H).
• Three years of relevant coding and abstracting experience or an equivalent combination of education and experience required in an acute care hospital setting.
• A minimum of 3 years Inpatient medical coding experience (Hospital, Facility, etc).
• One year of experience will be waived for those who have attended the Dignity Health Coding Apprenticeship Program.
• Must have ICD-10 coding experience.

• 401k matching
• Health insurance
• Tuition reimbursement
• Retirement plan benefit(s)

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