Coder II Outpatient Credential, FT Days (Remote) Downey, CA

23882-977

Full-Time/Regular

Job Summary:

The Certified Coder II is responsible for all group practice encounter review, inpatient and outpatient surgeries and all other coding activities for assigned departments, including RCx Rules review and reconciliation, missing charge review, and development of relevant education for any new specialties and/or practices for provider and coding staff. This includes electronic daily encounter review and processing, procedures and diagnostic testing, responding to physician inquiries, analyzing coding trends and providing any training necessary.

This position is responsible for creating hospital disease and procedure indices by coding and abstracting pertinent data from outpatient diagnostic, observation, emergency, wound healing center, home health, GI lab, and ambulatory surgery records. Provides diagnostic and procedural information to the Business Office so that a bill for services can be generated.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience.

Required:

• Must possess strong interpersonal communication skills.
• Have excellent verbal and written communication.
• Demonstrate problem-solving and decision-making skills.
• Demonstrate complete technical knowledge of ICD10 CM coding as well as CPT and HCPCS procedural coding.
• Must have thorough knowledge of anatomy and physiology and medical terminology.
• Must be proficient with coding guidelines and pro fee coding/billing requirements, including use of modifiers.

Preferred:

• Familiarity with computers and encoding software and the general principle of Health Information Management/Medical Records is preferred.

Required:

• Current Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is required.
• Maintain Certification with annual CE units required.
• Five years coding experience in a pro fee setting is required, with E/M experience.
• Must abide by all company confidentiality requirements.

Preferred:

• An Associate of Science or Bachelor of Science degree in Health Information from an approved AHIMA program is preferred.

Additional Requirements:

• Current American Health Information Management Association (AHIMA) certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required.
• High school diploma and successful completion of college courses in Medical Terminology, Anatomy and Physiology and an AHIMA approved coding class are preferred.
• One-year experience in ICD-10-CM and CPT-4 coding in an acute hospital setting or home health required.
• Experience in using a computerized abstracting system and encoding software is preferred. Basic windows and mouse skills required.