Coder III : Medical Coding

DaMar Staffing; United States; On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Hoag offers competitive benefits and a

Equal Opportunity Employer

Job summary

Hoag Memorial Hospital Presbyterian is seeking an experienced Medical Coder for hospital-based coding. You will review clinical documentation, apply ICD-10-CM/PCS codes, and ensure accurate capture for inpatient services.

Qualifications include a CCS credential, at least five years of inpatient coding experience in acute care, and completion of a CAHIM-accredited HIT program or coding certificate. Hoag emphasizes accuracy and regulatory compliance.

Qualifications

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

Responsibilities

• The coder reviews clinical documentation and diagnostic results and applies ICD-10-CM and ICD-10-PCS to support diagnoses, procedures, and treatment results.
• 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, education, or in-services.
• Participates in quality review meetings.
• Performs other duties as assigned.

Skills

ICD-10-CM knowledge

ICD-10-PCS knowledge

Attention to detail

Communication skills

Education

High school diploma or equivalent

Certified coding program

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 than1,800 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.