OP Coder Auditor at Prime Healthcare in US-CA-Ontario

Job description

• Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities

• The Outpatient Coder Auditor reviews and analyzes documentation present in the medical record for Outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases,Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Participates in chart review projects as assigned and other duties as needed.

Requirements

• Education and Work Experience
• Medical Graduate, PA or Nursing Graduate.
• CCS is required.
• Familiar with Hospital and Professional Coding, Infusion Injection Coding.
• Thorough knowledge of ICD-10-CM, CPT, anatomy and physiology, medical terminology, , APC's.
• Registered Health Information Technician (R.H.I.T.), or Registered Health Information Administrator (R.H.I.A.).
• One year of clinical experience in acute care setting preferred.
• Basic computer experience required.
• Use of an encoder software product for code assignment in an acute care setting required.
• Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.
• Excellent written and verbal communication skills. Excellent critical thinking skills.

Skills

Required

• CCS certification
• Infusion Injection Coding
• Basic computer experience

Preferred

• Computer data entry with 10-key
• Accurate typing speed of 35 wpm

Benefits

• Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $28.00 to $43.40. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.