Coder IV – IP DRG
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Job Description
Coder IV reviewing medical records for coding at Denver Health. Ensuring compliance with coding guidelines and maintaining accuracy in diagnoses and procedures.
Responsibilities:
- The Coder IV reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes.
- This includes, but is not limited to, various coding assignments under the direction of Coding Management.
- Provides feedback regarding documentation and coding issues.
- Utilizes software applications and coding references, including electronic, to perform coding related tasks.
- The Coder IV maintains an understanding of and ensures compliance with, all applicable Official Coding Guidelines.
- This position requires advanced experience and judgment to plan and accomplish goals.
- Proficiency in ICD-10-CM diagnosis coding and PCS, including DRG coding required.
- Experience with writing physician queries required.
- Meets or exceeds the minimum coding productivity standard for the type of coding performed.
- Submits a fully completed and accurate production log weekly in a timely manner.
- Meets or exceed the minimum coding accuracy rate of 95%.
- Works as a member of a coding team for the successful benefit of the department and DHHA.
Requirements:
- Five years medical coding with multi-specialty experience or specialty certification Required
- Two years’ experience in an academic setting Required
- Proficiency in all major specialties Required
- Strong procedural coding Required
- Experience reviewing DRG assignment required
- Applies advanced knowledge of coding and compliance with a working knowledge of hospital based, teaching physician guidelines.
- Knowledge of encoder and data abstraction software.
- Strong knowledge of billing and reimbursement.
- Possess good oral and written communication skills.
- Possess strong organizational skills and the ability to work independently and meet deadlines.
- Able to think critically.
- Must be capable of reading and interpreting coding guidelines and making subsequent coding decisions.
- Knowledgeable in researching coding related topics and issues.
- Strong oral and written communication skills with demonstrated ability to give professional presentations.
- Ability to handle a fast paced environment and be a positive role model.
- Must pass a coding proficiency pre-hire test with 85% accuracy or higher.
- Good computer keyboarding skills
- Knowledge of Microsoft Office Suite.
- Epic experience helpful.
- Encoder experience helpful.
Benefits:
- Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
- 100% paid parental leave up to 6 weeks
- Immediate eligibility for retirement plans with employer contribution up to 9.5%
- Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
- Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
- Free RTD EcoPass (public transportation)
- Childcare discount programs & exclusive perks on large brands, travel, and more
- Tuition reimbursement & assistance
- Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
- Professional clinical advancement program & shared governance
- Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
- National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
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