Eisenhower Medical Center
Coder II - Clinic Billing Services
Job Location
Rancho Mirage, CA, United States
Job Description
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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
* Job Objective: A brief overview of the position.
* Provides concurrent coding based on Eisenhower Medical Center Compliance protocols and all CMS published guidelines.
* Reports to
* Manager-Coding and Charge Capture
* Supervises
* N/A
* Ages of Patients
* N/A
* Blood Borne Pathogens
* Minimal/ No Potential
* Qualifications
* Education
* Required: High School Diploma, GED or higher level degree
* Licensure/Certification
* Required: Coding Certification (CPC, CCS, COBGC, CSC) or RHIT
* Experience
* Required: Two (2) years of experience in coding as a certified coder
* Preferred: Physician coding for inpatient, outpatient and procedures
* Essential Responsibilities
* Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
* Ensures quality of work performed through regular audits maintaining a 95% accuracy rate.
* Maintains daily productivity based on departmental standards.
* Sequences the ICD10 diagnoses and procedures using coding guidelines.
* Abstracts and compiles data from medical records for appropriate optimal reimbursement for professional and facility based charges.
* Creates and submits providers queries when documentation does not support the code provided.
* Communicates with providers, office personnel and management personnel for needed documentation for accurate coding.
* Reviews Claim edits related to coding such as LCD,NCCI and MUE's and assists with corrections for clean claim submission.
* Reviews the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnosis and procedures using ICD-10-CM and/or CPT coding, HCPCS conventions.
* Assists with research and development and presentation of continuing education programs on areas of specialization.
* Reviews Operative notes and related documentation to accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions.
* Consults with and educates physicians on coding practices and conventions in order to provide detailed coding information.
* Provides assistance to customer service and follow up teams related to denials associated with coding or documentation questions.
* Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
* Performs other duties as assigned.
Apply Now
* Share Job:
* Email
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Eisenhower Health offers a generous benefits package and a matched retirement plan.
Employees are eligible to participate in a benefits program designed to make a difference for you and your family.
View Full Benefits
A Culture of Positivity and Support
From the beginning, this organization formed a culture based on strong values, commitments and a passion for service and professional excellence.
What Our Nurses Say
One of my very favorite things about working at Eisenhower Health is the culture on inclusivity that we have and a strong base for evidence-based practice.
Lori
Neonatal Nurse
One of the greatest things about working as a nurse at Eisenhower Health is how much support you get from Administration. We keep on improving the process here. It's a fantastic place to work.
Richard
Nursing Supervisor
My favorite thing about working at Eisenhower Health is the camaraderie within my unit and with the different departments.
Jennifer
Registered Nurse
Be a Part of an Award-Winning Team
Location: Rancho Mirage, CA, US
Posted Date: 12/25/2024
chevron_left Back To Results
Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
* Job Objective: A brief overview of the position.
* Provides concurrent coding based on Eisenhower Medical Center Compliance protocols and all CMS published guidelines.
* Reports to
* Manager-Coding and Charge Capture
* Supervises
* N/A
* Ages of Patients
* N/A
* Blood Borne Pathogens
* Minimal/ No Potential
* Qualifications
* Education
* Required: High School Diploma, GED or higher level degree
* Licensure/Certification
* Required: Coding Certification (CPC, CCS, COBGC, CSC) or RHIT
* Experience
* Required: Two (2) years of experience in coding as a certified coder
* Preferred: Physician coding for inpatient, outpatient and procedures
* Essential Responsibilities
* Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
* Ensures quality of work performed through regular audits maintaining a 95% accuracy rate.
* Maintains daily productivity based on departmental standards.
* Sequences the ICD10 diagnoses and procedures using coding guidelines.
* Abstracts and compiles data from medical records for appropriate optimal reimbursement for professional and facility based charges.
* Creates and submits providers queries when documentation does not support the code provided.
* Communicates with providers, office personnel and management personnel for needed documentation for accurate coding.
* Reviews Claim edits related to coding such as LCD,NCCI and MUE's and assists with corrections for clean claim submission.
* Reviews the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnosis and procedures using ICD-10-CM and/or CPT coding, HCPCS conventions.
* Assists with research and development and presentation of continuing education programs on areas of specialization.
* Reviews Operative notes and related documentation to accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions.
* Consults with and educates physicians on coding practices and conventions in order to provide detailed coding information.
* Provides assistance to customer service and follow up teams related to denials associated with coding or documentation questions.
* Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
* Performs other duties as assigned.
Apply Now
* Share Job:
Eisenhower Health offers a generous benefits package and a matched retirement plan.
Employees are eligible to participate in a benefits program designed to make a difference for you and your family.
View Full Benefits
A Culture of Positivity and Support
From the beginning, this organization formed a culture based on strong values, commitments and a passion for service and professional excellence.
What Our Nurses Say
One of my very favorite things about working at Eisenhower Health is the culture on inclusivity that we have and a strong base for evidence-based practice.
Lori
Neonatal Nurse
One of the greatest things about working as a nurse at Eisenhower Health is how much support you get from Administration. We keep on improving the process here. It's a fantastic place to work.
Richard
Nursing Supervisor
My favorite thing about working at Eisenhower Health is the camaraderie within my unit and with the different departments.
Jennifer
Registered Nurse
Be a Part of an Award-Winning Team
Location: Rancho Mirage, CA, US
Posted Date: 12/25/2024
Contact Information
| Contact | Human Resources Eisenhower Medical Center |
|---|