Hoag Health System
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Coder III: Coding
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Hoag Health System The coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health information Management Association (AHIMA) and adheres to all official coding guidelines. Responsibilities Verifies that all ICD-10-CM and CPT codes are correctly captured. Verifies that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Meets ongoing productivity and quality standard of 95% accuracy rate or better. Follows all coding conventions and serves as a coding consultant to Hoag providers. Identifies discrepancies that may impact quality of care and/or billing issues. Serves as a resource and subject matter expert to other coding staff. Completes coding charge review and claim edits in Epic or other appropriate EMR system, including coding and correcting ICD-10 codes, modifiers, and CPT E/M and procedure codes. Reviews and communicates with providers on E/M Leveling/Coding. Codes specialty-specific outpatient surgeries/same-day procedures. Job Description Primary Duties and Responsibilities The coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the AHIMA and adheres to all official coding guidelines. Verifies that all ICD-10-CM and CPT codes are correctly captured. Verifies that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Coding - Hoag Clinic Meets ongoing productivity and quality standard of 95% accuracy rate or better. The coder follows all coding conventions and serves as a coding consultant to Hoag providers. Discrepancies are identified that may impact quality of care and/or billing issues. The coder will serve as a resource and subject matter expert to other coding staff. Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, and CPT E/M and procedure codes. Reviews and communicates with providers on E/M Leveling/Coding. Codes specialty specific outpatient surgeries/same day procedures. Qualifications About Us Hoag Memorial Hospital Presbyterian
is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women\'s health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, https://www.hoag.org/about-hoag/awards-accreditations/ . Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives. Seniority level Mid-Senior level Employment type Full-time Job function Engineering and Information Technology Industries Hospitals and Health Care Referrals increase your chances of interviewing at Hoag Health System by 2x Get notified about new Coder jobs in
Costa Mesa, CA .
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Coder III: Coding
role at
Hoag Health System The coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health information Management Association (AHIMA) and adheres to all official coding guidelines. Responsibilities Verifies that all ICD-10-CM and CPT codes are correctly captured. Verifies that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Meets ongoing productivity and quality standard of 95% accuracy rate or better. Follows all coding conventions and serves as a coding consultant to Hoag providers. Identifies discrepancies that may impact quality of care and/or billing issues. Serves as a resource and subject matter expert to other coding staff. Completes coding charge review and claim edits in Epic or other appropriate EMR system, including coding and correcting ICD-10 codes, modifiers, and CPT E/M and procedure codes. Reviews and communicates with providers on E/M Leveling/Coding. Codes specialty-specific outpatient surgeries/same-day procedures. Job Description Primary Duties and Responsibilities The coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the AHIMA and adheres to all official coding guidelines. Verifies that all ICD-10-CM and CPT codes are correctly captured. Verifies that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Coding - Hoag Clinic Meets ongoing productivity and quality standard of 95% accuracy rate or better. The coder follows all coding conventions and serves as a coding consultant to Hoag providers. Discrepancies are identified that may impact quality of care and/or billing issues. The coder will serve as a resource and subject matter expert to other coding staff. Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, and CPT E/M and procedure codes. Reviews and communicates with providers on E/M Leveling/Coding. Codes specialty specific outpatient surgeries/same day procedures. Qualifications About Us Hoag Memorial Hospital Presbyterian
is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women\'s health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, https://www.hoag.org/about-hoag/awards-accreditations/ . Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives. Seniority level Mid-Senior level Employment type Full-time Job function Engineering and Information Technology Industries Hospitals and Health Care Referrals increase your chances of interviewing at Hoag Health System by 2x Get notified about new Coder jobs in
Costa Mesa, CA .
#J-18808-Ljbffr