Clinical Quality Coder II
Clinical Quality Coder II
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Job Description
We are so glad you are interested in joining Sutter Health!
Organization:
SHSOSutter Health System OfficeBayPosition Overview:
This position conducts review of outpatient medical records using International Classification of Disease Coding ICD10CM and Current Procedural Terminology (CPT) Medicare Advantage ICD10CM and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for preappointment review of each encounter in scope including Medicare Advantage encounters to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review.Job Description:
EDUCATION:
- HS Diploma or General Education Diploma (GED)
CERTIFICATION & LICENSURE:
- CRCCertified Risk Adjustment Coder OR CPCCertified Professional Coder OR AHMA or AAPC Coding Certification (CCSP CPC COC or CPCP)
TYPICAL EXPERIENCE:
- 1 year recent relevant experience.
SKILLS AND KNOWLEDGE:
- Advanced knowledge of ICD10 diagnosis coding conventions and requirements knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/HCC as well as medical terminology and abbreviations of disease illness and injury process.
- Proficient use of grouper software and/or coding reference books to assign/validate diagnosis codes.
- National Correct Coding Initiative edits Coding Clinic and CPT Assignment coding guidelines and the contents of a medical record.
- Ability to work independently as well as be part of the team including accomplishing multiple tasks in an environment with interruptions.
- Demonstrated written and verbal communications skills to explain sensitive information clearly and professionally.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday FridayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
NonExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $38.25 to $57.38 / hour. Colorado Florida Georgia Illinois Michigan Nevada North Carolina Oregon Pennsylvania Texas Pay Range is $29.06 to $43.58 / hour. Pay Transparency Name Arizona Arkansas Idaho Louisiana Missouri Montana South Carolina Tennessee Utah Pay Range is $25.83 to $38.74 / hour.The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications department equity training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Employment Type
Full-Time
