Reporting to the Coding Manager, the Medical Records Coder is responsible for coding; analyzing and abstracting patient records both retrospectively and concurrently in accordance with UHDDS, Medicare, MediCal and Tenet coding guidelines using ICD-10-CM, CPT. Coder will review medical records to assign diagnosis and procedure codes, creating APC, MS-DRG, or APR group assignments. Communicates with the physician and/or hospital departments for clarification of documentation/registration/charge issues. Reviews medical records to correctly abstract POA indicators, discharge disposition, physician consultations, etc. Keeps abreast of coding guidelines and reimbursement reporting requirements. Reports concerns to assigned Coding Quality Coordinator and/or Manager for resolution.
3-5 years minimum acute care hospital Inpatient Coding required, preferably in a HIM/Coding department
Thorough knowledge of medical terminology, human anatomy, & physiology; Understanding of CPT\ ICD-10 coding and language
Excellent computer skills and ability to multitask between programs simultaneously
Must be self-motivated and able to work independently with little to no direct supervision
Independent in project/workload prioritization with demonstrated follow-up and consistent follow through
Requires strong, professional, interpersonal skills, verbal and written communication skills
Must be able to interface with all staff levels; peers, Directors, Physicians, etc.
Must take and pass Tenet Coding Marker exam prior to hire.
Job: Medical Coding
Primary Location: Modesto, California
Facility: Doctors Medical Center of Modesto
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2005025993
About Doctors Medical Center of Modesto
Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.