OP Ancilliary/Physician Coder

Title: OP Ancillary/Physician Coder

Location: Fountain Valley, CA / Predominantly Remote

Department: Coding

Status: Full-Time

Shift: Days (8hr)

Pay Range*: $28.35/hr - $41.10/hr

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

Under the direction of the Manager, Coding Compliance, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement. The OP Ancillary/Physician Coder will also be committed to ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to each patient.

Essential Functions and Responsibilities of the Job

1. Reviews the medical record of all outpatient, ancillary and ancillary recurring hospital encounters to determine the principal diagnosis and procedure and all appropriate secondary diagnoses and procedures
2. Using the International Classification of Diseases (ICD-9/10) and the Current Procedural Terminology (CPT) coding classification systems, assigns codes to all diagnoses and procedures following applicable coding principals and department guidelines; enters into the Epic Hospital Billing system for transmittal to billing system
3. Abstracts and codes all required clinical and demographic data for OSHPD (Office of Statewide Health Planning and Development), Quality Management, and Medical Staff; enters information into the Epic Hospital Billing system
4. Assigns ICD-9/ I-10 codes to the chief complaint of outpatient diagnosis accounts; enters into the Epic Hospital Billing system. Enters CPT codes, as appropriate
5. Reviews accounts for coding edits and corrects those edits
6. Maintains current knowledge of the most recent ICD-10-CM Official Guidelines for Coding and Reporting, the annual changes to the ICD-10 diagnosis and procedure codes, and the annual changes to the CPT procedure codes. Recognizing that we are in a period of change, the same would be expected for ICD-10 diagnosis and procedure coding, once implemented
7. Ensures that the coding units Weekly Accounts Receivable (WAR) goals are met, by meeting the productivity standards established for this position
8. Performs other duties as assigned

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out ourMemorialCare Benefitsfor more information about our Benefits and Rewards.