OP Coder Auditor Trainee

Prime Healthcare; Racimo (CA); On-site; USD 36,000 - 41,000; Full time

Job summary

Prime Healthcare seeks an Outpatient Coder Auditor Trainee to review documentation in outpatient records and ensure accurate ICD-9/ICD-10, CPT, HCPCS coding. The role anchors DRG validation and supports CDS and medical staff.

Ideal candidates have a medical graduate background (PA or nursing), basic computer skills, and experience using encoder software. Strong typing, communication, and ability to work independently are preferred.

Qualifications

• Medical graduates, PAs or Nursing graduates required.
• Basic computer experience required.
• Encoder software used for code assignment in acute care.

Responsibilities

• Review outpatient medical records to ensure accurate ICD-9/ICD-10 coding.
• Finalize coding with CPT/HCPCS and DRG validation.
• Assist CDS and medical staff to improve clinical documentation.

Skills

Medical coding

Encoder software

Typing 35 wpm

Communication

Independent worker

Education

Medical/PA/Nursing graduate

Tools

Encoder software

Job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities

The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Holding a senior coding position, assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Participates in chart review projects as assigned and other duties as needed.

Qualifications

Education and Work Experience

Required qualifications:

• Medical Graduate, PA or Nursing Graduate required.
• Basic computer experience required.
• Use of an encoder software product for code assignment in an acute care setting required

Preferred qualifications:

• Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.
• Excellent written and verbal communication skills. Excellent critical thinking skills.
• Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.
• Ability to work independently in a time-oriented environment.
• Computer literacy and familiarity with the operation of basic office equipment.
• 1+ year of clinical experience in acute care setting preferred.

Pay Transparency

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $26.04 to $29.69. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf