Inpatient Coder IV

Where Youll Work

Dignity Health one of the nations 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 . You can also follow us on Twitter and Facebook.

One Community. One Mission. One California

Job Summary and Responsibilities

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 theDignity 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 Requirements

This is a remote position but selected candidate must reside in California.

Minimum Qualifications :

Preferred Qualifications :

Key Skills

Collection And Recovery,Banking,ABAP,Insulation,Investment Management,Client Services

Employment Type : Unclear

Experience : years

Vacancy : 1