Overview:
***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.
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