Coder IV

As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently.

Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards.

To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time.

• Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Inpatient admissions. Can also code ancillary, emergency department, same day surgery, and observation charts, if needed.
• Review provider documentation to determine principle diagnosis, co-morbidities and complications, and secondary conditions and surgical procedures following official coding guidelines.
• Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS, as appropriate, and CPT-4 for procedures.
• Understand ICD-10 Coding in relation to DRGs.
• Abstract additional data elements during the chart review process when coding, as needed.
• Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10-PCS procedures.

Required:

• High School Graduate/GED
• Must have ICD-10 coding & DRG coding experience.
• Three years of relevant coding and abstracting experience or equivalent combination of education and experience required in an acute care hospital setting.
• Minimum of 3 years of Inpatient medical coding experience (hospital, facility, etc.),
• Registered Health Information Administrator, or
• Registered Health Information Technician, or
• Certified Coding Specialist, or
• Certified Coding Specialist - Physician Based, or
• Certified Professional Coder, or
• Certified Professional Coder Hospital, or
• Certified Professional Coder Hospital Apprentice,or
• Certified Professional Coder Apprentice, or
• Certified Billing and Coding Certification,

Preferred:

• Intermediate level of Microsoft Excel.

As the only not-for-profit, faith-based healthcare system in the area, Dignity Health Nevada, guided by the Adrian Dominican Sisters' vision for over 70 years, continues to serve the Henderson and Las Vegas communities. The Siena Campus, a 326-bed acute care hospital opened in 2000, expanded the services of the Rose de Lima Campus to meet growing healthcare needs. St. Rose Dominican is part of Dignity Health, one of the nation’s largest healthcare systems, with over 9,000 physicians, 60,000 team members, and 400 care centers across 22 states, including hospitals, urgent care, imaging and surgery centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to compassionate, high-quality care, especially for the underserved.