What are the responsibilities and job description for the In-Patient Coder position at Memorial Care?
Title: In-Patient Coder
Location: Fountain Valley, CA / Predominately Remote
Department: Coding
Status: Full-Time
Shift: Days (8hr)
Pay Range*: $37.98/hr - $55.10/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
For the purposes of complete accurate clinical documentation, reimbursement, reporting and research, follows established MHS Guidelines, policies and procedures, in accordance with all Federal & State coding rules, regulations and reporting requirements. Codes all payer types inpatient records including Government Medicare Medical Serverity-Diagnosis Related Group (MS-DRG) and Medicare Inpatient Rehab (CMG) and APR-DRG for Medi-Cal payer types as needed according to diagnoses, operations and procedures using appropriate classification systems. Abstracts designated demographic and clinical data for profiling and benchmarking. Ensures correct code assignment, modifier use and sequencing to provide for maximum achievable accuracy & completeness of clinical documentation and allowable hospital reimbursement under the Federal Government's Perspective Payment System for acute inpatient hospitals, as well as ensuring appropriate SOI (Severity of Illness) and ROM (Risk of Mortality) scoring for benchmarking and quality reporting to CMS (Centers for Medicare and Medicaid Services), TJC (The Joint Commission), OSHPD (Office of Statewide Health Planning and Development), and other benchmarking agencies.
Essential Functions and Responsibilities of the Job
- Has basic office skills and computer knowledge
- Communicates effectively with supervisor, peers and others requiring interactions
- Achieves optimal MS-DRG and APR-DRG reimbursement
- Ensures appropriate SOI/ROM scoring
- Meets facility standards for correct diagnoses and procedure code assignment (ie. accuracy goals)
- Meets facility standards for QM data/physician assignment/OSHPD required data
- Meets WAR report productivity goals 97% of the time
- Be at work and be on time
- Follow company policies, procedures and directives
- Interact in a positive and constructive manner
- Prioritize and multitask
- 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 our MemorialCare Benefits for more information about our Benefits and Rewards.
Salary : $38 - $55
