Coder IV

CommonSpirit Health•Henderson, NV

About The Position

As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Inpatient admissions. Can also code ancillary, emergency department, same day surgery, and observation charts, if needed. Review provider documentation to determine principle diagnosis, co-morbidities and complications, and secondary conditions and surgical procedures following official coding guidelines. Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS, as appropriate, and CPT-4 for procedures. Understand ICD-10 Coding in relation to DRGs. Abstract additional data elements during the chart review process when coding, as needed. Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10-PCS procedures.

Requirements

High School Graduate/GED
Must have ICD-10 coding & DRG coding experience
Three years of relevant coding and abstracting experience or equivalent combination of education and experience required in an acute care hospital setting
Minimum of 3 years of Inpatient medical coding experience (hospital, facility, etc.), Registered Health Information Administrator, or Registered Health Information Technician, or Certified Coding Specialist, or Certified Coding Specialist - Physician Based, or Certified Professional Coder, or Certified Professional Coder Hospital, or Certified Professional Coder Hospital Apprentice,or Certified Professional Coder Apprentice, or Certified Billing and Coding Certification

Nice To Haves

Intermediate level of Microsoft Excel

Responsibilities

Ensure precise communication with insurance companies
Accurately translate patients’ medical records into standardized codes for diagnoses and treatments
Ensure compliance with legal, regulatory, and organizational standards
Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Inpatient admissions
Code ancillary, emergency department, same day surgery, and observation charts, if needed
Review provider documentation to determine principle diagnosis, co-morbidities and complications, and secondary conditions and surgical procedures following official coding guidelines
Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS, as appropriate, and CPT-4 for procedures
Understand ICD-10 Coding in relation to DRGs
Abstract additional data elements during the chart review process when coding, as needed
Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10-PCS procedures