Coder I - job 1 of 5

As a Coder I at Dignity Health Medical Foundation, your primary responsibilities include reviewing and processing clinic professional charges, ensuring that all services are thoroughly documented and accurately coded for maximum reimbursement. You'll work closely with physicians to clarify documentation, code various services including Primary Care, and provide education on coding best practices. Your role is instrumental in maintaining compliance with coding regulations and supporting the financial health of our organization.

To qualify for the Coder I position at Dignity Health Medical Foundation, candidates should have a high school diploma or equivalent and preferably hold a CPC, CPC-A, or CCS-P certification. While one year or less of professional fee coding experience is acceptable, candidates should also demonstrate a strong understanding of coding guidelines like ICD, E&M, CPT, and HCPCS codes.

Yes, the Coder I position at Dignity Health Medical Foundation is a work-from-home role within California. This flexibility allows you to contribute to the organization while managing your work environment according to your preferences, making it an ideal opportunity for those seeking a healthy work-life balance.

Dignity Health Medical Foundation prioritizes professional development and supports its Coders through ongoing education and training. As a Coder I, you will have access to resources and training opportunities that enhance your coding knowledge and keep you updated on the latest coding guidelines, ultimately helping you advance your career.

In the Coder I position at Dignity Health Medical Foundation, familiarity with GECB/IDX and Cerner is preferred but not mandatory. These software systems facilitate efficient coding and billing processes, ensuring accurate reporting and adherence to compliance standards. Your adaptability and eagerness to learn will be valuable in mastering these tools.

As a Coder I, I adhere to coding standards set forth by ICD, E&M, CPT, and HCPCS guidelines. I ensure that all codes accurately reflect the documentation provided, maximizing reimbursement while maintaining compliance with regulatory standards.

When I encounter unclear documentation, I initiate a query to the provider, seeking clarification to ensure that all services rendered are supported. I believe in maintaining open communication with providers to resolve any discrepancies accurately.

Coding is crucial in healthcare as it directly impacts reimbursement for services provided. Accurate coding ensures that healthcare organizations can offer quality care while staying compliant with regulations. It also aids in healthcare analytics, helping organizations identify trends and manage resources efficiently.

I hold a CPC certification, which emphasizes my competency in medical coding and my commitment to staying updated on coding practices and guidelines, making me well-equipped for the Coder I role.

I once faced a challenge with a complex case that had incomplete documentation. I took the initiative to communicate with the provider, gathering the necessary details to ensure proper coding. By being proactive, I not only resolved the issue but also educated the provider on documentation requirements.

I stay updated on coding guidelines by actively participating in webinars, enrolling in continuing education courses, and subscribing to relevant industry publications. This proactive approach broadens my knowledge and helps me implement accurate coding practices.

I am familiar with coding software such as Cerner and IDX, which are commonly used in healthcare settings. I believe that being proficient in these tools enhances efficiency and accuracy in the coding process.

I ensure accuracy in my coding by meticulously reviewing patient documentation before assigning codes, staying trained on the guidelines, and conducting regular self-audits of my work to identify and address any potential errors.

I have dealt with claim denials by reviewing the reasons for denial, identifying coding errors, and correcting them before resubmitting the claims. It’s essential to analyze denial patterns to minimize future occurrences.

I am eager to join Dignity Health Medical Foundation as a Coder I because of its commitment to providing comprehensive healthcare and high standards of service. The opportunity to work with skilled professionals and contribute to patient care through accurate coding aligns perfectly with my career aspirations.