Dignity Health one of the nations largest health care systems is a 22-state network of more than 9000 physicians 63000 employees and 400 care centers including hospitals urgent and occupational care imaging and surgery centers home health and primary care clinics. Headquartered in San Francisco Dignity Health is dedicated to providing compassionate high-quality and affordable patient-centered care with special attention to the poor and underserved. For more information please visit our website at www.dignityhealth.org. You can also follow us on Twitter and Facebook.

This position is a remote position; however, the successful candidate must reside in the State of California. Please check our website for other remote or non-remote coder opportunities in and outside of the State of California.

Position Summary:

The Coder II is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding validating the information in the databases for outcome management and specialty registries across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization TJC CMS and other regulatory agencies.

Principle Duties and Accountabilities:

• Assign codes for diagnoses treatments and procedures according to the appropriate classification system for ED admissions.
• Can code ancillary charts if needed.
• Review provider documentation to determine the reason for visit first listed and secondary diagnosis codes and surgical procedures following official coding guidelines.
• Provide documentation feedback to providers as needed
• Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures.
• Extract required information from source documentation and enter into encoder and abstracting system.
• Review documentation to verify and when necessary correct the patient disposition upon discharge.
• Prioritize work to ensure the timeframe of medical record coding meets established KPIs.
• Serve as a resource for coding related questions as appropriate.
• Meet performance and quality standards at the Coder I level.
• Participate in department meetings and educational events.
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Assists with OSHPD correction.
• Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle including but not limited to charge validation observation calculations etc..

We offer the following benefits to support you and your family:

• Health/Dental/Vision Insurance
• Flexible spending accounts
• Voluntary Protection: Group Accident Critical Illness and Identity Theft
• Adoption Assistance
• Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
• Employee Assistance Program (EAP) for you and your family
• Paid Time Off (PTO)
• Tuition Assistance for career growth and development
• Retirement Programs
• Wellness Programs

Minimum Qualifications:

• High School Diploma or equivalent.
• Have and maintain current coding credential from AHIMA or AAPC (RHIA RHIT CCS CCS-P CPC or CPC-H).
• Completion of an AHIMA or AAPC accredited coding certification program that includes courses that are critical to coding success such as: Anatomy and physiology pathophysiology pharmacology Medical Terminology and ICD-10 and CPT coding courses.
• Two years of coding and abstracting experience or equivalent combination of education and experience required.
• Minimum of 2 years Emergency and Ancillary facility coding experience. (One year of experience will be waived for those who have attended the Dignity Health Coding Apprenticeship Program.)
• Must have ICD-10 coding experience. Analytical / Critical thinking and problem solving.
• Knowledge and application of ICD-10- CM HCPCS and CPT-4 classification systems
• Excellent written and verbal communication skills including the ability to present ideas and concepts effectively across organizational levels.
• Knowledge of information privacy laws access release of information and release control technologies.
• Knowledge of hospital protocols and procedures. Working knowledge of functional relationships between departments within healthcare or similar environment.
• Knowledge of TJC HIPPA HCFA Title 22 security principles guidelines and standard healthcare practices.
• Demonstrated competence with personal computers networks and Microsoft Office (including MS Word) and EMR systems.
• Must have the ability to pass a coding technical assessment.

Preferred Qualifications:

• Experience with various Encoder systems (i.e. OptumCAC Cerner).
• Intermediate level of Microsoft Excel.
• Experience with coding and charge validation.

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