Coder III : Medical Coding

DaMar Staffing; Newport Beach (CA); On-site; USD 54,000 - 84,000; Full time

Job summary

Hoag Memorial Hospital Presbyterian in Newport Beach, CA is seeking a Coder III for inpatient hospital-based medical coding. The role involves applying ICD-10-CM/ICD-10-PCS to diagnoses, procedures, and treatments, while ensuring accurate abstraction and OSHPD reporting.

The position requires a CAHIM-accredited coding program or CCS certification and at least five years of inpatient coding experience in an acute care setting. Hoag supports ongoing education and quality initiatives.

Qualifications

• High school diploma or equivalent.
• Completion of a certified coding program or CAHIM-accredited HIT program.
• Five years inpatient coding in an acute care facility.
• CCS certification required.

Responsibilities

• Review clinical documentation and apply ICD-10-CM/PCS to support diagnoses, procedures and treatments.
• Verify correct capture of ICD-10-CM codes.
• Verify physician abstraction accuracy.
• Stay updated on coding guideline changes.
• Participate in quality review meetings and other duties as assigned.
• Resolve billing errors and support workflow improvements.
• Maintain 95% accuracy in coding tasks.
• Assign codes for inpatient surgeries and determine principal diagnosis, co-morbidities and procedures.
• Abstract required information including OSHPD data, DRGs and POA indicators.
• Query physicians when documentation is unclear.

Skills

ICD-10-CM/PCS coding

Quality review

Physician queries

Attention to detail

Education

High school diploma or equivalent

Certified coding program or CAHIM HIT program

Tools

CCS certification

Job description

Job Description

Primary Duties And Responsibilities

• The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.
• Verifies that all ICD-10-CM codes are correctly captured.
• Verify that physician is correctly abstracted.
• Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services.
• Participates in internal and external quality review meetings.
• Performs other duties as assigned.

Medical Coding - Hospital Based

• Resolves billing related errors and assists with workflow changes and process improvement projects.
• Meets ongoing productivity and quality standard of 95% accuracy rate or better.
• Additionally, the Coder III assigns codes for diagnoses, treatment, and procedures for inpatient surgeries.
• Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions, and surgical procedures.
• Abstracts correctly all required information from record including the correct discharge disposition and OSHPD required information.
• Also assigns correct MS-DRG and APR-DRG and correct Present on Admission (POA) indicators and identifies (HAC) Hospital Acquired Conditions.
• Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Qualifications

Education and Experience

High school diploma or equivalent required.

Medical Coding - Hoag Hospital:

• Completion of a certified coding program or graduate of a CAHIM accredited HIT program required.
• Five years of progressive inpatient coding experience in an acute care facility.

Coding - Hoag Clinic: Required:

• Five or more (5+) years coding experience mastering assigning diagnostic and procedure codes to patient medical records.
• Must have extensive outpatient coding experience in multiple areas of specialty.

Certifications Required

• Certified Coding Specialist (CCS)

About Us

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag's awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Job Info

• Job Identification 129768
• Job Category Revenue Cycle & Coding
• Locations 1 Hoag Dr, Newport Beach, CA, 92663, US
• Pay Range $39.15 - $60.51/hr
• Job Schedule Full Time