Coder II

Common Spirit-posted 28 days ago
Full-time • Mid Level
Remote • Rancho Cordova, CA
5,001-10,000 employees
Water Transportation
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This position is remote. As a Coder II, you will review and process 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.

  • 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
  • 2 years of professional fee coding experience
  • High school diploma or equivalent
  • CPC or CCS-P Certification
  • Two (2) years of surgical fee coding experience preferred.
  • GECB/IDX and Cerner preferred
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