Coder III

Coder III
Costa Mesa, CA | 100% Remote Role
3+ Years with a high possibility of extension

Description:
Position Summary: -Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes. -Codes are used for billing, internal and external reporting, research and regulatory compliance activities. -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. -Verifies that all ICD-10 codes are correctly captured. -Verifies that physician is correctly abstracted. -Keeps abreast of coding guideline changes. -May identify chargeable items for facility level for given department. -May assign codes for diagnoses and treatment for ancillary outpatient encounters. -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. -Performs other duties as assigned. -Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM and CPt-4 procedures. -Assigns codes for diagnoses, treatment and procedure for multiple specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery. -Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions and surgical procedures. -Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired conditions), and accurately abstracts discharge dispositions. -Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Position Summary:
-Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes.
-Codes are used for billing, internal and external reporting, research and regulatory compliance activities.
-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.
-Verifies that all ICD-10 codes are correctly captured.
-Verifies that physician is correctly abstracted.
-Keeps abreast of coding guideline changes.
-May identify chargeable items for facility level for given department.
-May assign codes for diagnoses and treatment for ancillary outpatient encounters.
-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.
-Performs other duties as assigned.
-Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM and CPt-4 procedures.
-Assigns codes for diagnoses, treatment and procedure for multiple specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery.
-Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions and surgical procedures.
-Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired conditions), and accurately abstracts discharge dispositions.
-Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Required Skills & Experience: -Five years of progressive inpatient coding experience in an acute care facility. Preferred Skills & Experience: -N/A

Required Skills & Experience:
-Five years of progressive inpatient coding experience in an acute care facility.

Preferred Skills & Experience:
-N/A

Required Education: -High school diploma or equivalent required. Preferred Education: -N/A Required Certifications & Licensure: -Completion of a certified coding program or graduate of a CAHIM accredited HIT program required. -CCS Credential. Preferred Certifications & Licensure: -N/A

Required Education:
-High school diploma or equivalent required.

Preferred Education:
-N/A

Required Certifications & Licensure:
-Completion of a certified coding program or graduate of a CAHIM accredited HIT program required.
-CCS Credential.

Preferred Certifications & Licensure:
-N/A

Skills:Required

• CODING
• CPT
• ICD
• BILLING
• DOCUMENTATION

Additional

• WORKFLOW
• CPT-4
• CLINICAL DOCUMENTATION

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