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Coder IV

St. Rose Dominican Siena Henderson, Nevada
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The posted compensation range of $32.44 - $45.03 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2026-458927 Employment Type Full Time Department HIM Coding Hours/Pay Period 80 Shift Day Weekly Schedule 8a-5p, Monday - Friday ,2 weekends a month Remote Yes Category Medical Coding

Job Summary and Responsibilities

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.

Job Requirements

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.
Where You'll Work

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.

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.