Coder II

CommonSpirit Health; Rancho Cordova (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in healthcare seeks a dedicated Coder II to join their remote team. This role is pivotal in reviewing and processing complex specialty clinic professional charges, ensuring accuracy in coding for maximum reimbursement. The ideal candidate will collaborate closely with medical providers, applying coding principles consistent with regulatory standards. With a commitment to excellence, the organization fosters a purposeful work environment, providing opportunities for professional growth and advancement. If you are passionate about coding and wish to contribute to a leading healthcare provider, this is the opportunity for you.

Qualifications

• 2 years of professional fee coding experience required.
• CPC or CCS-P Certification is mandatory.

Responsibilities

• Review and process complex specialty clinic professional charges.
• Code surgical and hospital professional charges for assigned providers.

Skills

Coding principles

ICD coding

CPT coding

E&M coding

Documentation review

Education

High school diploma or equivalent

Tools

GECB/IDX

Cerner

Job description

Overview

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. It is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona, and Nevada. Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As we continue to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians, and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.

Responsibilities

This position is remote.

Position Summary:

The Coder II reviews and processes complex specialty clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical group physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.

Responsibilities may include:

1. Applies coding principles consistent with government regulatory standards, payer specific guidelines, and Dignity Health Medical Foundation policy.
2. Codes complex office surgical and hospital professional charges for assigned providers.
3. Reviews all ICD, E&M, CPT, and HCPCS codes to ensure documentation supports all services rendered.
4. Queries providers as needed when encounters lack clear documentation or there is missing documentation in the medical record.
5. Provides education to physicians and providers on coding and documentation as needed.
6. Assists clinic and other department staff with coding related questions pertaining to assigned providers.
7. When requested, codes missing charges identified for assigned providers.
8. Attends clinic and other department meetings to act as a coding resource for assigned specialties.
9. Maintains a current working knowledge of E&M, CPT, and ICD coding guidelines.
10. Meets productivity standards as set by Physician Coding leadership.
11. Meets quality standards set by Physician Coding leadership.
12. Reviews and corrects coding related denials to maximize reimbursement.
13. Identifies, analyzes, and trends coding related denials to recommend areas of coding improvement for the organization.
14. Works all patient coding dispute inquiries in designated time periods.

Qualifications

Minimum Qualifications:

1. 2 years of professional fee coding experience.
2. High school diploma or equivalent.
3. CPC or CCS-P Certification.

Preferred Qualifications:

1. Two (2) years of surgical fee coding experience.
2. GECB/IDX and Cerner experience.