Remote Coder IV

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

Job summary

An established industry player in healthcare is seeking a Remote Coder IV to join their team. This role involves assigning codes for diagnoses and treatments while ensuring compliance with official coding guidelines. The ideal candidate will have a strong background in inpatient medical coding, proficiency in ICD-10 and CPT coding, and experience with EMR systems. The company is dedicated to building healthy communities and offers a supportive environment for professional growth. If you are passionate about healthcare and coding, this opportunity is perfect for you.

Qualifications

• 3+ years of inpatient medical coding experience in an acute care hospital setting.
• Proficiency with Windows, MS Word, and EMR systems.
• Ability to pass a coding technical assessment.

Responsibilities

• Assign codes for diagnoses, treatments, and procedures according to classification systems.
• Review provider documentation for diagnoses and surgical procedures.
• Collaborate with the Clinical Documentation Improvement team.

Skills

ICD-10 coding

Medical terminology

CPT coding

Windows proficiency

EMR systems

Microsoft Excel

Education

High School Diploma or equivalent

AHIMA or AAPC accredited coding program

Current coding credential from AHIMA or AAPC

Tools

OptumCAC

Cemer

Job description

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Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., including clinics, hospitals, home-based care, and virtual services, CommonSpirit is accessible to nearly one in four U.S. residents. Our mission is to build healthy communities, advocate for the poor and vulnerable, and innovate healthcare delivery inside and outside hospitals.

Responsibilities

• Assign codes for diagnoses, treatments, and procedures according to classification systems for inpatient admissions.
• Code ancillary, emergency, same-day surgery, and observation charts as needed.
• Review provider documentation for diagnoses, co-morbidities, complications, secondary conditions, and surgical procedures following official coding guidelines.
• Utilize coding principles and reimbursement expertise to assign ICD-10-CM, ICD-10-PCS, and CPT-4 codes.
• Understand ICD-10 coding in relation to DRGs.
• Abstract additional data elements during chart review when necessary.
• Ensure accurate coding by clarifying diagnosis and procedural information through queries if needed.
• Assign Present on Admission (POA) values for inpatient diagnoses.
• Extract information from source documentation into encoding and abstracting systems.
• Identify non-payment conditions, HACs, and PSIs following established procedures.
• Collaborate with the Clinical Documentation Improvement team in the DRG mismatch process.
• Verify and correct patient disposition upon discharge.
• Prioritize work to meet regulatory coding timeframes.
• Serve as a resource for coding questions.
• Maintain performance standards in coding accuracy and productivity.
• Review and document coded charts and missing information.
• Provide feedback to providers on documentation.
• Participate in departmental meetings and training.
• Adhere to AHIMA standards and official coding guidelines.
• Support revenue cycle activities like charge validation and observation calculations.

Qualifications

Minimum Qualifications

• High School Diploma or equivalent.
• Completion of an AHIMA or AAPC accredited coding program covering anatomy, physiology, pathophysiology, pharmacology, medical terminology, ICD-10, and CPT coding.
• Current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H).
• At least 3 years of inpatient medical coding experience in an acute care hospital setting.
• ICD-10 coding experience.
• Proficiency with Windows, MS Word, and EMR systems.
• Ability to pass a coding technical assessment.
• Experience waived for candidates who completed the Dignity Health Coding Apprenticeship Program.

Preferred Qualifications

• Experience with encoder systems like OptumCAC or Cemer.
• Intermediate Microsoft Excel skills.
• Experience with coding and charge validation.
• Must reside in California as this is a remote position.

Pay Range

$45.90 - $54.81 per hour

Additional Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Engineering and Information Technology
• Industries: Wellness and Fitness Services, Hospitals and Healthcare, Medical Practices