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OP Ancilliary/Physician Coder

Fountain ValleyMemorial Health Services

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. MemorialCare stands for excellence in Healthcare. Across our family of medical centers and physician groups, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.

Essential Job Outcomes & Functions
  • Reviews the medical record of all outpatient, ancillary and ancillary recurring hospital encounters to determine the principal diagnosis and procedure and all appropriate secondary diagnoses and procedures
  • Using the International Classification of Diseases (ICD-9/10) and the Current Procedural Terminology (CPT) coding classification systems, assigns codes to all diagnoses and procedures following applicable coding principals and department guidelines; enters into the Epic Hospital Billing system for transmittal to billing system
  • Abstracts and codes all required clinical and demographic data for OSHPD (Office of Statewide Health Planning and Development), Quality Management, and Medical Staff; enters information into the Epic Hospital Billing system
  • Assigns ICD-9/ I-10 codes to the chief complaint of outpatient diagnosis accounts; enters into the Epic Hospital Billing system. Enters CPT codes, as appropriate
  • Reviews accounts for coding edits and corrects those edits
  • Maintains current knowledge of the most recent ICD-9-CM Official Guidelines for Coding and Reporting, the annual changes to the ICD-9 diagnosis and procedure codes, and the annual changes to the CPT procedure codes. Recognizing that we are in a period of change, the same would be expected for ICD-10 diagnosis and procedure coding, once implemented
  • Ensures that the coding units Weekly Accounts Receivable (WAR) goals are met, by meeting the productivity standards established for this position
  • Performs other duties as assigned

Minimum Requirements / Work Experience
  • High school diploma or GED
  • 1+ year ICD-9/CPT coding experience in an acute care hospital OR successful completion of an accredited coding program
  • Successful completion of ICD-10 CM (and PCS preferred) training

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