Davita Inc.
HIM-I Coder - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Davita Inc., Alhambra, California, us, 91802
HIM-I Coder - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC
Hospital Alhambra, California
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medical records (i.e., OP Ancillary visits: Laboratory, Radiology etc.; Clinic Visits; Radiation Oncology; Recurring Visits, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim to ensure timely claims drop with appropriate codes. Performs other coding department related duties as assigned by HIM management staff.
Essential Duties:
Code outpatient ancillary, clinic visits, and emergency department records using ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifiers, following official coding laws, regulations, and guidelines.
Review entire medical records; classify and sequence diagnoses and procedures accurately; capture all documented conditions affecting care, including co-morbidities, complications, and external causes.
Enter patient information into inpatient and outpatient databases (ClinTrac/HDM); ensure data accuracy prior to billing and claims submission.
Collaborate with HIM Coding Support and Clinical Documentation Improvement Specialists to obtain documentation and ensure accurate coding.
Assist in correcting regulatory reports, such as OSHPD data, as needed.
Maintain attendance, punctuality, and professionalism in all activities.
Achieve a minimum of 95% coding accuracy and 95% abstracting accuracy in departmental reviews.
Ensure all medical records contain necessary information for accurate coding and abstracting.
Identify educational needs and participate in self-improvement activities.
Serve as a resource for coding questions and issues among staff.
Improve accuracy of MS-DRG, APR-DRG, and APC/HCC assignments based on documentation.
Maintain productivity standards, ensuring 95% of patient bills are dropped within 5 days of discharge and the rest within 2 weeks.
Support other coders and departments in addressing coding issues.
Monitor unbilled accounts to prioritize coding tasks.
Maintain professional certifications such as AHIMA or AAPC credentials.
Participate in coding and CDI seminars, webinars, and in-services for ongoing education.
Stay current with coding guidelines, AHA Coding Clinic, CPT Assistant, and relevant journals.
Attend daily huddles and adhere to HIM policies and procedures.
Contribute to departmental performance improvement activities.
Communicate effectively within and outside the department.
Ensure timely follow-up and accurate navigation of EHR and coding software systems.
Perform other duties as assigned.
Qualifications: Required:
High school diploma or equivalent.
Technical training and successful completion of college courses in Medical Terminology, Anatomy & Physiology, and a certified coding course.
Pass the hospital-specific coding test (or meet internal/external audit standards if previously employed at USC).
Experience with computerized coding & abstracting software and encoding systems.
Preferred:
Experience coding ICD-9 & ICD-10, CPT/HCPCS outpatient records in hospital/outpatient settings.
Certifications:
Certified Coding Specialist (CCS), CCS-P, AAPC CPC, or COC.
If uncertified, must pass relevant national coding exams within 6 months.
Fire Life Safety Training (LA City) within 30 days of hire if applicable.
The hourly rate range is $33.00 - $54.02, considering various factors including experience, education, and organizational policies.
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Hospital Alhambra, California
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medical records (i.e., OP Ancillary visits: Laboratory, Radiology etc.; Clinic Visits; Radiation Oncology; Recurring Visits, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim to ensure timely claims drop with appropriate codes. Performs other coding department related duties as assigned by HIM management staff.
Essential Duties:
Code outpatient ancillary, clinic visits, and emergency department records using ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and modifiers, following official coding laws, regulations, and guidelines.
Review entire medical records; classify and sequence diagnoses and procedures accurately; capture all documented conditions affecting care, including co-morbidities, complications, and external causes.
Enter patient information into inpatient and outpatient databases (ClinTrac/HDM); ensure data accuracy prior to billing and claims submission.
Collaborate with HIM Coding Support and Clinical Documentation Improvement Specialists to obtain documentation and ensure accurate coding.
Assist in correcting regulatory reports, such as OSHPD data, as needed.
Maintain attendance, punctuality, and professionalism in all activities.
Achieve a minimum of 95% coding accuracy and 95% abstracting accuracy in departmental reviews.
Ensure all medical records contain necessary information for accurate coding and abstracting.
Identify educational needs and participate in self-improvement activities.
Serve as a resource for coding questions and issues among staff.
Improve accuracy of MS-DRG, APR-DRG, and APC/HCC assignments based on documentation.
Maintain productivity standards, ensuring 95% of patient bills are dropped within 5 days of discharge and the rest within 2 weeks.
Support other coders and departments in addressing coding issues.
Monitor unbilled accounts to prioritize coding tasks.
Maintain professional certifications such as AHIMA or AAPC credentials.
Participate in coding and CDI seminars, webinars, and in-services for ongoing education.
Stay current with coding guidelines, AHA Coding Clinic, CPT Assistant, and relevant journals.
Attend daily huddles and adhere to HIM policies and procedures.
Contribute to departmental performance improvement activities.
Communicate effectively within and outside the department.
Ensure timely follow-up and accurate navigation of EHR and coding software systems.
Perform other duties as assigned.
Qualifications: Required:
High school diploma or equivalent.
Technical training and successful completion of college courses in Medical Terminology, Anatomy & Physiology, and a certified coding course.
Pass the hospital-specific coding test (or meet internal/external audit standards if previously employed at USC).
Experience with computerized coding & abstracting software and encoding systems.
Preferred:
Experience coding ICD-9 & ICD-10, CPT/HCPCS outpatient records in hospital/outpatient settings.
Certifications:
Certified Coding Specialist (CCS), CCS-P, AAPC CPC, or COC.
If uncertified, must pass relevant national coding exams within 6 months.
Fire Life Safety Training (LA City) within 30 days of hire if applicable.
The hourly rate range is $33.00 - $54.02, considering various factors including experience, education, and organizational policies.
#J-18808-Ljbffr