Remote Coder IV

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

Job summary

Join a forward-thinking healthcare organization as a Coder IV, where you will play a crucial role in ensuring the accuracy of clinical coding. This remote position offers the opportunity to apply your coding expertise to improve patient outcomes while working with a dedicated team. You will be responsible for coding diagnoses and procedures, collaborating with clinical teams, and maintaining high performance standards. With a strong focus on quality and compliance, this role is perfect for those looking to make a significant impact in the healthcare sector. Enjoy competitive pay, a sign-on bonus, and a range of comprehensive benefits to support your well-being.

Benefits

Health/Dental/Vision Insurance

Flexible spending accounts

Free Premium Membership to Care.com

Tuition Assistance

Paid Time Off

Retirement Programs

Wellness Programs

Employee Assistance Program

Adoption Assistance

Voluntary protections: accident, critical illness, identity theft

Qualifications

• 3+ years of relevant coding experience in an acute care hospital.
• Proficiency in ICD-10 coding and coding technical assessments.

Responsibilities

• Assign codes for diagnoses and procedures according to classification systems.
• Ensure accurate coding by clarifying diagnosis and procedural information.

Skills

ICD-10 coding

CPT-4 coding

Coding accuracy

Windows proficiency

MS Word proficiency

EMR systems

Education

High School Diploma or equivalent

AHIMA or AAPC accredited coding program

Current coding credential from AHIMA or AAPC

Tools

Encoder systems (e.g., OptumCAC, Cemer)

Microsoft Excel

Job description

1 month ago Be among the first 25 applicants

Responsibilities

• $5,000 Sign-On Bonus Available

This position is remote; however, the successful candidate must reside in California. Please check our website (Search Category: Medical Coding) for other opportunities.

Position Summary

The Coder IV is part of the Health Information Management Team, responsible for ensuring the accuracy of clinical coding, validating database information for outcome management and registries across the healthcare system. The role involves applying diagnostic and procedural codes to patient records for data analysis and claims processing, in alignment with organizational policies and regulatory agencies.

Principle Duties And Accountabilities

• 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 to determine diagnoses, co-morbidities, complications, and surgical procedures following 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 during chart review when necessary.
• Ensure accurate coding by clarifying diagnosis and procedural information through queries.
• Assign Present on Admission (POA) values for inpatient diagnoses.
• Extract information from source documentation into encoding and abstraction systems.
• Identify non-payment conditions, HACs, and PSI following established procedures.
• Collaborate with the Clinical Documentation Improvement team on DRG mismatches.
• Review documentation for patient discharge disposition accuracy.
• Prioritize work to meet regulatory coding timeframes.
• Serve as a resource for coding questions.
• Maintain performance standards in coding accuracy and productivity.
• Keep records of coded or missing charts.
• Provide feedback to providers as needed.
• Participate in departmental meetings and educational events.
• Meet performance and quality standards at the Coder III level.
• Adhere to AHIMA's Standards of Ethical Coding and official guidelines.
• Support revenue cycle activities such as charge validation and observation calculations.

Benefits

• Health/Dental/Vision Insurance
• Flexible spending accounts
• Voluntary protections: accident, critical illness, identity theft
• Adoption Assistance
• Free Premium Membership to Care.com
• Employee Assistance Program
• Paid Time Off
• Tuition Assistance
• Retirement Programs
• Wellness Programs

Qualifications

Minimum Qualifications

• High School Diploma or equivalent
• Completion of an AHIMA or AAPC accredited coding program
• Current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H)
• Three years of relevant coding experience in an acute care hospital
• ICD-10 coding experience required
• Proficiency with Windows, MS Word, and EMR systems
• Ability to pass a coding technical assessment
• Experience in the Dignity Health Coding Apprenticeship Program can waive one year of experience

Preferred Qualifications

• Experience with encoder systems (e.g., OptumCAC, Cemer)
• Intermediate Microsoft Excel skills
• Experience with coding and charge validation
• Residency in California is required for remote work

Overview

Mercy Medical Center, a Dignity Health member, has served the community for over 100 years. Our facility includes a 186-bed hospital, outpatient centers, a cancer center, and rural clinics. Join our team of 1300 employees, 230 physicians, and volunteers committed to high-quality, personalized care.

Pay Range

$32.03 - $43.11/hour

Seniority level

• Not Applicable

Employment type

• Full-time

Job function

• Engineering and Information Technology

Industries

• Wellness and Fitness Services, Hospitals and Healthcare, Medical Practices