Job Details: Coder Specialist: HID

Company: Cedars-Sinai Health System – Join the largest non-profit hospital in the western US!

Description: WORKING DAYS & HRS: MONDAY-FRIDAY & 2:00PM-10:30PM
Summary of Essential Job Duties:
Under general direction of the Health Information Department and CDMP Supervisor, The Coder Specialist utilizes knowledge of CSMC and Coding Clinic guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC. Assign ICD-9-CM and CPT-4 codes for patients receiving services at CSMC. Correctly assign DRG and all applicable APCs for all patients to assure optimal reimbursement and the highest quality data possible. Abstract all collected data in a timely and accurate manner into the abstracting system. Perform coding accuracy reviews prior to billing, concurrent reviews, and/or retrospective of coded and abstracted patient data under data quality and compliance guidelines. Research coding queries, including act as liaison between coder and physician as part of coding query process. Compile and prepare data quality reports. Provide corrected coded data to finance as part of rebilling process. This individual has a working knowledge of all California and National reporting requirements.

Educational Requirements:
Associate of Science in Health Information Science, completion of courses in ICD-9-CM and CPT-4 coding from an accredited coding program or comparable level of education preferred.

License/Certification/Registration Requirements:
Certified Coding Specialist (CSS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or eligible preferred.

Experience:
Minimum of three years of experience required with inpatient acute care coding and outpatient surgical/ambulatory care coding. Proficiency in ICD-9-CM and CPT-4 coding with excellent working knowledge of the DRG and APC payment methodologies, AHA Coding Clinic and CPT Assistant. Minimum of 1 year experience in performing coding audits and/or reviews using established data quality review and compliance guidelines recognized by American Health Information Management Association (AHIMA) and/or Centers for Medicare and Medicaid Services (CMS). Demonstrated ability to work with all internal and external customers in a professional manner, assist in orientation and training of new employees and students, and provide guidance and training for new/trainee coders.

REQUISITION#: 1070569

Posting Date: Apr 8 08