Incumbents in this position shall comply with all applicable laws and rules including the Dignity Health Standards of Conduct and Dignity Health policies and procedures that apply to his/her job responsibilities, seek guidance when in doubt, promptly report any potential or suspected violation of Dignity Health Standards of Conduct, Dignity Health policy or procedure or applicable laws/regulations and when requested, assist Dignity Health personnel in investigating all allegations of violation. When called upon, the incumbent shall assist in risk evaluation and work collaboratively with facility/entity leaders to implement, monitor and mitigate risk corrective plans outlined by the Compliance program.
The outpatient coder I accurately determines ICD-10-CM diagnosis, and ICD-10-PCS, CPT and HCPCS procedure codes for all outpatient medical records that could include ED, Ancillary, Labs, Radiology, Catheterization Labs, low level Interventional Radiology, Urgent Care, Recurring Accounts, Observations, Rehab, Critical Care, Psych, and Trauma and, on occasion, charging for services and supplies.
Nature and Scope:
This position reports to the Coding Supervisor.
Primary Responsibilities: developing and maintaining good communications and working relationships with the medical staff, administrative staff, outside agencies and with other departments.
Duty to Support the Mission and Philosophy of Dignity Health:
This position upholds the best interests of Dignity Health by adhering to the highest standards of ethical and moral conduct and by committing to the values of Dignity Health's mission and philosophy.
Special Shift Notes:
*** 40 hour workweek support across any shift preferable to the candidate ***
Schedule A: Tuesday Saturday
Schedule B: Sunday Thursday
1st shift: 7:00 a 3:30 p
2nd shift: 3:30 p 12:00 a
3rd shift: 10:30 p 7:00 a
1. Identifies and provides appropriate and accurate assignment of ICD-10-CM, ICD-10-PCS, and CPT diagnosis and procedure codes for outpatient facility services provided in the acute hospital setting, as well as additional data elements identified during the chart review process
2. Follow official coding guidelines, including the Coding Clinic, CPT Assistant, and HCPCS
3. Enter all appropriate information in accordance with the policies and procedures of the medical facility.
4. Working knowledge of medical terminology, and anatomy and physiology
5. Familiarity and usage of multiple computer systems used in Coding (EHR, Encoder, Abstracting and Billing)
6. Maintain compliance with both external regulatory and accreditation requirements, and State and Federal Regulations
7. Maintains up-to-date coding knowledge by reviewing materials disseminated and/or recommended by Corporate Compliance and coding directors, managers, and supervisors
8. Queries clinical staff to achieve accuracy in coding
9. Incorporates quality assurance information and maintains quality and productivity standards as outlined by the corporation
10. Participates in coding department meetings and educational events
11. Maintains professional certification, as applicable
12. Contributes to the Quality improvement activities of the department and the organization, including participating in internal department and corporate audits and reviewing and correction of daily generated error reports
13. Communicates effectively and professionally with remote facility site managers, direct management, and fellow employees
14. Can independently organize and prioritize work to ensure records are coded in timeframes that will assure compliance with facility and regulatory standards
15. Access to High Speed Internet required
1. High School Diploma or GED
2. Health Information Technology or certified coding program degree
3. Will consider the following certifications:
a. Certified Coding Specialist-CCS
b. Registered Health Information Technician or Admin-RHIT or RHIA
c. Certified Professional Coder-CPC
1. At least one year experience working in an acute hospital setting coding outpatient procedures.
Knowledge, Skills and Abilities:
1. Appropriate training to perform the necessary essential functions
2. ICD-10 Training
3. Demonstrated competence with personal computers, networks, and Microsoft Office.
4. Experience with various coding abstracting and coding systems (MS4 Mira, Meditech, Clintrac, Optum CAC, HBO Star) and electronic medical record (Cerner Powerchart)
About Dignity Health
Dignity Health, one of the nation's largest health care systems, is a 21-state network of 9,000 physicians, 59,000 employees, and more than 400 care centers, including hospitals, urgent and occupational care, imaging centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. In FY15, Dignity Health provided $1.7 billion in charitable care and services. For more information, please visit our website at www.dignityhealth.org. You can also follow us on Twitter and Facebook.
Dignity Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status. For more information about your EEO rights as an applicant, please click here.