[Hiring] Acute Facility ED Coder @UnitedHealth Group

Role Description

The Coder II is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis, and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS, and other regulatory agencies.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Key Responsibilities:

• Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for ED admissions.
• Can code ancillary charts if needed.
• Review provider documentation to determine reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines.
• Provide documentation feedback to providers, as needed.
• Utilize technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures.
• Extract required information from source documentation and enter into encoder and abstracting system.
• Review documentation to verify and when necessary, correct the patient disposition upon discharge.
• Prioritize work to ensure timeframe of medical record coding meets established KPI’s.
• Serve as a resource for coding related questions as appropriate.
• Meet performance and quality standards at the Coder I level.
• Participate in department meetings and educational events.
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Assists with OSHPD correction.
• Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle, including but not limited to charge validation, observation calculations, etc.

Qualifications

• High School Diploma or equivalent required.
• Completion of an AHIMA or AAPC accredited coding certification program that includes courses critical to coding success such as: Anatomy and physiology, pathophysiology, pharmacology, Anatomy / Physiology, Medical Terminology and ICD-10 and CPT coding courses.
• Have and maintain current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P CPC or CPC-H).
• 2+ years of coding and abstracting experience or equivalent combination of education and experience required.
• 2 years Emergency and Ancillary facility coding experience.
• Must have ICD-10 coding experience.
• Ability to use a PC in a Windows environment, including MS Word and EMR systems.
• Ability to pass all pre-employment requirements including, but not limited to: drug screening, background check, and coding technical assessment.
• *One year of experience will be waived for those who have attended the Dignity Health Coding Apprenticeship Program.

Preferred Qualifications

• Experience with various Encoder systems (i.e., OptumCAC, Cerner).
• Intermediate level of Microsoft Excel.
• Experience with coding and charge validation.

Knowledge, Skills and Abilities

• Analytical / Critical thinking.
• Problem Solving.
• Knowledge and application of ICD-10-CM, HCPCS and CPT-4 classification systems.
• Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels.
• Knowledge of information privacy laws, access, release of information, and release control technologies.
• Knowledge of hospital protocols and procedures.
• Working knowledge of functional relationships between departments within a healthcare or similar environment.
• Knowledge of TJC, HIPAA, HCFA, Title 22, security principles, guidelines, and standard healthcare practices.
• Demonstrated competence with personal computers, networks, and Microsoft Office.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
• The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment.