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Providence Health & Services Coder II, Telecommute in Burbank, California

Description:

Providence St. Joseph Health is calling a Coder II to join our team.

This is a telecommute position!

We are seeking a Coder II to be responsible for the coding/abstracting of acute-care services within ORC responsibility. Coding and abstracting work types may include ambulatory surgery, or ED /hospital facility coding combined with ED physician professional fee coding.

In this position you will:

  • Read and interpret documents contained in the medical record to identify and code all relevant diagnoses and procedures by utilizing an encoder program, and following national and PHS ORC coding guidelines, Coding Clinic, and other appropriate coding references and tools to ensure proper code assignment.

  • Select principal diagnoses and procedures in accordance with coding and UHDDS standards, CMS requirements, and knowledge of prospective payment systems. Ensures that correct MS DRG is assigned for proper hospital reimbursement. Ensures that APR DRG severity of illness and risk of mortality values are accurate for reporting purposes.

  • Query physicians for clarification when conflicting or ambiguous information is present by following appropriate PHS procedures.

  • Assign Present on Admission (POA) indicator accurately for each diagnoses coded, per CMS requirements published in official ICD-CM coding guidelines, and if uncertain, queries the physician.

  • Accurately assign discharge disposition code, paying particular attention to post-transfer program DRGs for proper hospital reimbursement.

  • Abstract medical record information in compliance with CMS requirements and PHS abstracting procedures. Uses available tools to check entries for accuracy. This may include data for clinical studies and quality management activities.

Qualifications:

Required qualifications for this position include:

  • High School Diploma or GED equivalent.

  • Minimum 3 years recent hospital-based coding experience.

  • Any AHIMA or AAPC certified coding credential.

Preferred qualifications for this position include:

  • Graduate of an AHIMA-accredited Health Information Technology or Health Information Management program or self-study course.

  • Inpatient coding experience for an acute care hospital HIGHLY preferred.

  • Strong EMR / encoder proficiency.

About the department you will serve.

One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Billing/Insurance

Location: Oregon-Medford

Other Location(s): Alaska-Anchorage, Oregon-Portland, California-Burbank, Washington-Renton

Req ID: 224940

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