Coder Auditor Trainee - PHMI Medical Records

Prime Healthcare•Ontario, CA

1d•Onsite

About The Position

Prime Healthcare is an award-winning health system headquartered in Ontario, California, with 54 hospitals and over 360 outpatient locations across 15 states. The health system serves over 3.0 million patients annually and is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of its hospitals are part of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join its corporate team.

Requirements

Medical Graduate, PA, or Nursing Graduate.
Basic computer experience.
One (1+) year of clinical experience in an acute care setting.
Experience using an encoder software product for code assignment in an acute care setting.
Computer data entry with 10-key preferred.
Accurate typing speed of 35 wpm.
Excellent written and verbal communication skills.
Excellent critical thinking skills.

Responsibilities

Reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by Coders, Clinical Documentation Specialists (CDS), or Computer Assisted Coding (CAC) software.
Finalizes coding and abstracting of the medical record upon ensuring the accuracy of International Classifications of Diseases (ICD-9-CM or ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS) codes, and that they are supported by clinical documentation.
Holds primary responsibility for DRG validation/accuracy in a senior coding position.
Plays a primary role in assisting CDS and medical staff members with improving the quality of clinical documentation.
Participates in chart review projects as assigned.
Performs other duties as needed.