Health Information Management Sr Coder

Dignity Health•Phoenix, AZ

5d•$29 - $44

About The Position

As a Senior Coder, you will ensure precise communication with insurance companies so services are documented correctly and payments are processed efficiently. You will translate patients’ medical records into standardized codes for diagnoses and treatments, ensuring compliance with legal, regulatory, and organizational standards. Success in this role requires accuracy, attention to detail, knowledge of coding standards and healthcare regulations, clear communication with providers and staff, and effective records management. You will code and abstract outpatient medical records and encounters, review documentation for completeness and accuracy, and collaborate with providers and other departments to resolve documentation and charge discrepancies. You will manage assigned work queues while meeting established productivity, turnaround-time, quality, and accuracy standards, and maintain patient and organizational confidentiality. The role also contributes to professional development and departmental improvement efforts, including mentoring and guidance for less experienced coders under leadership direction, without formal supervisory responsibility.

Requirements

High school graduate.
Completion of a CAHIIM-approved AHIMA/AAPC-accredited coding education program.
Three years of coding experience in inpatient, outpatient, professional fee, and/or outpatient physician clinic settings using ICD-10-CM, CPT, HCPCS, and/or ICD-10-PCS coding.
Electronic medical record (EMR) and encoder experience.
One of the listed coding or health information credentials: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist–Physician Based (CCS-P), Certified Professional Coder Hospital (CPC-H), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).

Nice To Haves

Remote work experience.

Responsibilities

Assign and sequence ICD-10-CM, CPT, and HCPCS codes for outpatient medical records and encounters.
Ensure coding decisions are substantiated by medical record documentation and comply with official coding guidelines, payer requirements, and Standards of Coding Ethics.
Analyze APCs and modifier assignments and accurately code and abstract assigned encounters using designated coding applications and systems.
Identify conflicting, ambiguous, or incomplete medical record documentation and initiate appropriate physician queries.
Collaborate with providers and other departments to improve clinical documentation and resolve charge discrepancies.
Review assigned work queues and prioritize and code encounters within established productivity and turnaround-time requirements.
Meet quality and accuracy standards set by Coding Leadership.
Comply with applicable laws, rules, regulations, and organizational policies, including reporting suspected violations.
Maintain confidentiality of patient information, medical records, department information, and employee information.
Participate in professional development, fulfill continuing education requirements, and maintain professional credentials.
Contribute to a positive team environment and communicate effectively with colleagues and leadership.
May assist with new-hire onboarding, provide mentorship, contribute to audit processes, and prepare various reports.
Suggest improvements to coding workflows, efficiency, and documentation improvement initiatives based on daily coding experience.
Provide feedback on proposed coding policies and procedures, identifying potential effects on coding accuracy or workflow.
Offer guidance to less experienced coders on challenging cases and coding complexities under leadership direction, without formal supervisory responsibility.
Participate in departmental meetings and perform other duties as assigned.