Medical Records Coder

Hello humankindness Located conveniently in the heart of Phoenix Arizona St. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social and support services. Founded in 1895 by the Sisters of Mercy St. Josephs was the first hospital in the Phoenix area. More than 125 years later St. Josephs remains dedicated to its mission of caring for the poor and underserved.We are extremely proud to be a nationally recognized center for quality quaternary care medical education and research. St. Josephs includes the internationally renowned Barrow Neurological Institute Norton Thoracic Institute Cancer Center at St. Josephs Ivy Brain Tumor Center and St. Josephs Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics neuro-rehabilitation orthopedics and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s.U.S News & World Report routinely ranks St. Josephs among the top hospitals in the United States for neurology and neurosurgery. In addition St. Josephs boasts the Creighton University School of Medicine at St. Josephs and a strategic alliance with Phoenix Childrens Hospital.St. Josephs is consistently named an outstanding place to work and one of Arizonas healthiest employers. Come grow your career with one of Arizonas Most Admired Companies.Look for us on Facebook and follow us on Twitter.For the health of our community ... we are proud to be a tobacco-free campus.

The Coder II reviews and processes complex specialty clinic professional charges for assigned business unit(s). This position works closely with clinic Physicians and Providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.

• Applies coding principals consistent with government regulatory standards, payer specific guidelines, and company policy.
• Codes complex office, surgical and hospital professional charge for assigned providers.
• Reviews all ICD, E&M, CPT, and HCPCS codes to ensure documentation supports all services rendered.
• Queries providers, as needed, when encounters lack clear or missing documentation in the medical record.
• As needed, provides education to Physicians and Providers on coding and documentation.
• Assists clinic and other department staff with coding related questions pertaining to assigned providers.
• When requested, codes missing charges identified for assigned providers.
• Attend clinic and other department meetings to act as a coding resource for assigned specialties.
• Maintain a current working knowledge of E&M, CPT and ICD coding guidelines.
• Meet production standards set by Physician Coding Leadership.
• Meet quality standards set by Physician Coding Leadership
• Reviews and corrects coding related denials to maximize reimbursement.
• Identifies, analyzes, and trends coding related denials to recommend areas of coding improvement for the organization.
• Works all patient coding dispute inquires in designated time periods.
• Perform other duties as assigned.

MINIMUM

High School Diploma/GED or equivalent

1 year Professional fee coding experience

Must have and maintain an in-depth knowledge of CPT, ICD, and HCPCS coding guidelines.

CPC or CCS Certification

PREFERRED

2 years surgical professional fee coding experience

GECB and Cerner experience