Coder II
The posted compensation range of $27.77 - $40.27 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
***This position is remote.
Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers we provide increasing support and investment in the latest technologies finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service.
Responsibilities
***This position is remote.
Position Summary:
The Coder II reviews and processes complex specialty clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical group physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.
Responsibilities may include:
- Applies coding principles consistent with government regulatory standards payer specific guidelines and Dignity Health Medical Foundation policy
- Codes complex office surgical and hospital professional charges for assigned providers
- Reviews all ICD E&M CPT and HCPCS codes to ensure documentation supports all services rendered
- Queries providers as needed when encounters lack clear documentation or there is missing documentation in the medical record
- Provides education to physicians and providers on coding and documentation as needed
- Assists clinic and other department staff with coding related questions pertaining to assigned providers
- When requested codes missing charges identified for assigned providers
- Attends clinic and other department meetings to act as a coding resource for assigned specialties
- Maintains a current working knowledge of E&M CPT and ICD coding guidelines
- Meets productivity standards as set by Physician Coding leadership
- Meets quality standards set by Physician Coding leadership
- Reviews and corrects coding related denials to maximize reimbursement
- Identifies analyzes and trends coding related denials to recommend areas of coding improvement for the organization
- Works all patient coding dispute inquiries in designated time periods
- All other duties as assigned.
Qualifications
Minimum Qualifications:
- 2 years of professional fee coding experience
- High school diploma or equivalent
- CPC or CCS-P Certification
Preferred Qualifications:
- Two (2) years of surgical fee coding experience.
- GECB/IDX and Cerner
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.
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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].
CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.