CODER

About City of Hope



City of Hope, an innovative biomedical research, treatment and educational institution with over 4000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy.



Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation's 20 leading cancer centers that develops and institutes standards of care for cancer treatment.



Requisition ID: 12805



Job Title: Coder



Location: Irwindale, CA



Position Summary:



Under the supervision of the Coding Manager, Coding Supervisor, and Lead Coder, the Coder is responsible for following established procedures for the review, classification, and abstraction of clinical data from patients' medical records regarding diseases, treatment given, and operative procedures for assignment of diagnostic and procedural codes and modifiers. This role abstracts and codes relevant data elements for a certain type of professional fee service area (i.e., Evaluation & Management, major and minor surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges) for multi-specialty physicians.



Key Responsibilities include:







  • Reads and interprets medical record documentation to identify all diagnosis, conditions, problems and procedures for Evaluation & Management, surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges.





  • Clarifies conflicting, ambiguous, or non- specific information appearing in a medical record by consulting the appropriate physician.



    Applies Official ICD-10-CM Guidelines to select first-listed diagnosis, primary procedure, complications, co-morbid conditions, other diagnoses and significant procedures which require coding.



    Applies knowledge of ICD-10-CM and CPT-4 instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly.



    Applies knowledge of current approved ICD-10-CM and CPT-4 coding guidelines to assign and sequence the correct diagnoses and procedure codes.



    Applies knowledge of anatomy, clinical disease processes, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures.



    Applies the Basic Coding Guidelines for professional fee physician coding to select and sequence diagnoses, conditions, problems, or other reasons which require coding for professional fee charges.



    Applies knowledge of CPT-4 coding guidelines and notes to locate the correct codes for all services and procedures performed during the encounter and sequence them correctly.



    Applies knowledge of government and commercial payer reimbursement guidelines to ensure optimal reimbursement.



    Ability to utilize computerized encoder/grouper as a reference tool for coding.



    Keeps current with ICD-10-CM and CPT-4 code changes, coding guidelines, and coding updates.



    Assist with charge corrections as identified when coding professional fee services.



    Reviews and completes required reporting documents as required by external and internal systems.



    Completes productivity reports and submits them to the manager, supervisor, or lead.



    Consistently meets coding quality standards and thresholds.



    Attends meetings as required.



    Successfully completes required education courses to maintain current coding certification.





Minimum Education: Post High School or equivalent.



Minimum Experience: Two years of coding experience of professional fees (physician/medical office).



Required Courses/Training: Thorough knowledge of medical terminology/anatomy/ physiology. Comprehensive understanding of professional fee coding principles, including knowledge and proper application of assigning ICD and CPT codes, bundling, and modifiers based on regulatory guidelines. Current knowledge, training and experience in ICD-10.



Required Certification/Licensure: CPC, CCS-P, or CCS.



City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.






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