Coder

Overview Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 sub-specialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic research and leadership roles.DHMG is also heavily involved in preparing tomorrow's healthcare providers. Clinical services are complemented with translational and bench research to augment medical education for residents and students. If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us. For the health of our community. We are proud to announce that we are a tobacco-free campus. Responsibilities As a Coder at Dignity Health Medical Group, you'll help us communicate precisely and accurately with patients' insurance companies. Using your knowledge and training, you will interpret medical files and records and choose codes to represent the diagnostic or treatment services each patient received so that information can be transmitted to the patient's insurance for payment. This is an incredibly important job. We don't get paid without you. The Coder II reviews and processes complex specialty clinic professional charges for assigned business unit(s). This position works closely with medical group Physicians and Providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement. Applies coding principals consistent with government regulatory standards, payer specific guidelines, and company policy. Codes complex office, surgical and hospital professional charge for assigned providers. Reviews all ICD, E&M, CPT, and HCPCS codes to ensure documentation supports all services rendered. Queries providers, as needed, when encounters lack clear or missing documentation in the medical record. As needed, provides education to Physicians and Providers on coding and documentation. Assists clinic and other department staff with coding related questions pertaining to assigned providers. When requested, codes missing charges identified for assigned providers. Attend clinic and other department meetings to act as a coding resource for assigned specialties. Maintain a current working knowledge of E&M, CPT and ICD coding guidelines. Meet production standards set by Physician Coding Leadership. Meet quality standards set by Physician Coding Leadership. Reviews and corrects coding related denials to maximize reimbursement. Identifies, analyzes, and trends coding related denials to recommend areas of coding improvement for the organization. Works all patient coding dispute inquires in designated time periods. Perform other duties as assigned. Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Qualifications Minimum: High School Diploma / GED 1 year professional fee coding experience. Certified Professional Coder (CPC) Certified Coding Specialist (CCS). Must have and maintain an in-depth knowledge of CPT, ICD, and HCPCS coding guidelines. Preferred:  2 years surgical professional fee coding. GECB and Cerner experience.

Created: 2024-11-02