Hoag Memorial Health Center Presbyterian.

  • Costa Mesa, CA


  • Long-term.

  • Full-time.

Evaluations medical documents and diagnostic outcomes as suitable to draw out information and use proper ICD-10- CM, ICD-10- PCS and/or CPT-4 codes for billing, internal and external reporting, research study and regulative compliance activities. Deal with mistake reports connected with the billing procedures, recognize and report mistake patterns and when required help in the style and execution of work circulation modifications to minimize billing mistakes. Need to satisfy continuous efficiency and quality metrics as developed within the department for each level. Coder might work remote if minimum innovation requirements, efficiency and quality requirements are fulfilled and they sign, and stick to, the Telecommuter Work Arrangement.

Necessary Functions

Level I

  • Appoints codes for medical diagnoses and treatment according to the suitable category system for supplementary outpatient encounters, consisting of modifier project.
  • Meet and/or go beyond the recognized quality requirement of 95% precision rate or much better while conference and/or going beyond recognized production requirements.

Education, Training and Experience

Level I

Needed:

  • High school diploma or equivalent.
  • 2 years of healthcare facility severe care OP diagnostic coding experience or graduation from a CAHIM recognized HIT program and is CCS eligible or RHIT eligible.

Preferred:

  • Effective conclusion of a licensed coding program.
  • Qualifications to consist of one or a mix of the following: CCA, CCS, CCS-P, RHIT and/or RHIA. CPC and/or CPC-H will be thought about with pertinent outpatient coding experience.

Abilities or Other Certifications

Needed:

  • Capability to code and preserve corporate/department particular quality requirements and fulfill performance requirements as recorded by the department and company.
  • Understanding of medical terms, anatomy and physiology, illness procedure and small surgeries.
  • Understanding of accepted medical abbreviations and their significances. Understanding in making use of specialized referrals such as the ICD-9-CM and CPT-4 books, medical dictionaries and texts, and medical journals.
  • Should have substantial understanding of Coding Center, CPT Assistant, and all main coding standards.
  • Advanced understanding of healthcare facility info systems, encoders and other innovation to assist in an effective virtual workplace while keeping optimum interaction and sticking to HIPAA security requirements.
  • Advanced understanding of MS Excel, Word and Outlook functions.
  • Abides by the requirements of Ethical Coding as stated by the American Health info Management Association (AHIMA) and sticks to all main coding standards.
  • Technical abilities needed to find out and browse a range of software application systems, trouble-shoot computer system issues, set up regular updates to software application and work effectively in a virtual environment.
  • Strong composed and spoken interaction abilities.
  • Capability to think/work individually, yet connect favorably with a remote group.
  • Advanced analytical abilities.
  • Familiarity with existing health care based innovation, coding, and Electronic Health Record (HER).
  • Attention to information is vital to this position.

Preferred:

  • Experienced in Income Cycle department works connecting to Ambulatory Payment Category (APC) grouping, rejections and edits.

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