Health Information Management Sr Coder (Fully Remote)

Dignity Health; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

Dignity Health is seeking a skilled medical coder to accurately assign ICD-10-CM, CPT, and HCPCS codes for outpatient encounters and analyze APCs and modifiers to ensure compliant charging. The role involves reviewing documentation, initiating physician queries for clarification, and collaborating with providers to resolve charge discrepancies.

The position emphasizes productivity, quality, confidentiality, and adherence to all applicable laws and organizational policies, with opportunities to

Qualifications

• Proficient in ICD-10-CM, CPT and HCPCS coding with adherence to payer rules and timelines.
• Ability to analyze APCs and modifier assignments for compliant coding and charging.
• Strong documentation review skills and collaboration with physicians for clarification.

Responsibilities

• Accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes for outpatient encounters.
• Analyze APCs and modifier assignments to ensure compliant coding and charging.
• Review documentation to identify conflicts or gaps and initiate physician queries for clarification.
• Collaborate with providers to ensure accurate clinical documentation and resolve charge discrepancies.
• Prioritize coding within turnaround times while meeting quality standards.
• Maintain confidentiality and comply with laws, regulations, and policies.
• Assist with onboarding, mentoring, and audit processes for less experienced coders.
• Contribute to workflow improvements and provide feedback on coding policies and procedures.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

APCs & modifiers

Documentation review

Physician queries

Onboarding mentorship

Auditing processes

Policy feedback

Job description

• Accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes for outpatient encounters.
• Analyze APCs and modifier assignments to ensure compliant coding and charging.

Documentation Review & Integrity:

• Identify conflicting or incomplete documentation and initiate physician queries for clarification.
• Collaborate with providers to ensure accurate clinical documentation and resolve charge discrepancies.

Productivity & Compliance:

• Prioritize and code assigned encounters within turnaround times while meeting quality standards.
• Maintain strict confidentiality and comply with all applicable laws, regulations, and organizational policies.

Professional Development & Collaboration:

• Assist with onboarding, mentoring, and audit processes for less experienced coders.
• Contribute to workflow improvement and provide feedback on coding policies and procedures.

Dignity Health

CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services. With more than 157,000 employees, 45,000 nurses, and 25,000 physicians across 24 states, it fosters a culture of compassion, innovation, and community service.