Remote Coder III Outpatient

Dignity Health one of the nation’s largest health care systems is a 22-state network of more than 9000 physicians 63000 employees and 400 care centers including hospitals urgent and occupational care imaging and surgery centers home health and primary care clinics. Headquartered in San Francisco Dignity Health is dedicated to providing compassionate high-quality and affordable patient-centered care with special attention to the poor and underserved. For more information please visit our website at www.dignityhealth.org. You can also follow us on Twitter and Facebook.

This position is a remote position; however, the successful candidate must reside in the State of California.  Please check our website for other remote or non-remote coder opportunities in and outside of the State of California.

Remote Coder III Outpatient 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..

We offer the following benefits to support you and your family:

• Health/Dental/Vision Insurance
• Flexible spending accounts
• Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
• Adoption Assistance
• Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
• Employee Assistance Program (EAP) for you and your family
• Paid Time Off (PTO)
• Tuition Assistance for career growth and development
• Retirement Programs
• Wellness Programs
• Live/work anywhere in the State of California.
• Work directly with multiple facilities within the coding classification
• 24/7 Business Operations w/flexible work schedules
• Minimal weekend requirements
• Computer equipment provided
• Business expense reimbursement, if applicable.
• Tremendous growth and skill enhancement opportunities to include apprenticeship programs and career ladders

While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility and more!

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Minimum Qualifications:

• High school diploma or equivalent.
• Have and maintain a current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H).
• Completion of an AHIMA or AAPC accredited coding certification program that includes courses that are critical to coding success such as: Anatomy and physiology, pathophysiology, pharmacology, Medical Terminology and ICD-10 and CPT coding courses.
• Two years of coding and abstracting experience or equivalent combination of education and experience required. 
• Minimum of 2 years Same Day Surgery, Wound Care, IVR, CVIR (specialty), Observation coding experience. 
• Must have ICD-10 coding experience. 

(One year of experience will be waived for those who have attended the Dignity Health Coding Apprenticeship Program.)

• Analytical / Critical thinking and problem solving. Knowledge and application of ICD-10-CM, ICD-10-PCS, HCPCS and CPT-4 classification systems. 
• Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels. 
• Knowledge of information privacy laws, access, release of information and release control technologies. Knowledge of hospital protocols and procedures. Working knowledge of functional relationships between departments within healthcare or similar environment. 
• Knowledge of TJC, HIPPA, HCFA, Title 22, security principles, guidelines and standard healthcare practices. 
• Demonstrated competence with personal computers, networks and Microsoft Office (including MS Word) and EMR systems. 

Preferred Qualifications:

• Experience with various Encoder systems (i.e., OptumCAC, Cerner).
• Intermediate level of Microsoft Excel.
• Experience with coding and charge validation.