Acute Facility ED Coder

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Acute Facility ED Coder (2390334)

Acute Facility ED Coder - 2390334

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

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.

• 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 principals 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

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• High School Diploma or equivalent required
• Completion of an AHIMA or AAPC accredited coding certification program that includes courses that are critical to coding success such as:
  Anatomy and physiology, pathophysiology, pharmacology, Anatomy / Physiology, Medical Terminology and ICD-10 and CPT coding courses etc
• 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
• Abilit…