Sutter Health
An integrated network delivering accessible, high-quality, and life-saving healthcare when people need it most.
Clinical Quality Coder II
Location
California + 4 moreAll locations: California, Louisiana, Texas, Utah, Washington
Posted
13 days ago
Salary
$34 - $51 / hour
High School1 yr expEnglish
Job Description
• Conducts review of outpatient medical records using ICD-10-CM and CPT
• Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures
• Responsible for pre-appointment review of each encounter in scope
• Alerts the physician of potential clinical conditions that may require review
Job Requirements
- HS Diploma or General Education Diploma (GED)
- CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, CPC, COC or CPC-P)
- 1 year recent relevant experience
- Advanced knowledge of ICD-10 diagnosis coding conventions and requirements
- Knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/HCC
- 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
- Ability to work independently, as well as be part of the team
- Demonstrated written and verbal communications skills
Benefits
- Yes
