The Coder II is responsible for accurate coding and abstracting of clinical information from the medical record. The position is responsible for maintaining Tenet standards for coding data quality and integrity, as well as productivity within established guidelines. The Coder II is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, and assisting with the training of new coders, resolving coding edits, CARDS edits and/or other projects.
Complies with established departmental policies and procedures, objectives, safety, environmental and infection control standards.
Cooperates with other personnel to achieve department objectives and maintain good employee relations.
Consistently demonstrates a professional and proactive attitude and actions in all interfaces with employees, hospital staff and physicians as well as patients.
Provides for privacy and patient/employee dignity by maintaining employee/patient and departmental confidentiality with no infractions.
Codes and abstracts all medical records for the purpose of reimbursement and research. Coding complies with federal regulations according to diagnoses, operations and procedures using ICD-10-CM, ICD-10-PCS, and CPT codes.
Accurately codes Ancillary, Emergency Department, Outpatient Surgery, Observation, or low acuity Inpatient encounters according to the Tenet Coding Quality Standards policy/procedure. Daily assures that all codes are entered into appropriate database on a daily basis
Reviews monitoring reports to assure that there are no outstanding accounts awaiting final diagnosis.
Serves as a liaison between medical records and the business offices of the hospital and the physician offices regarding any coding questions or discrepancies.
Assists in training in coding.
Responsible for continuing education and completion of lessons in LearnShare
Is always responsible for the maintenance of timely coding.
Performs other related duties as assigned or requested.
Understands HIPAA, privacy and confidentiality and demonstrates minimum necessary standard according to position
Minimum Education: High School Diploma or GED equivalent
Minimum Experience: 2-5 years facility-based coding
Required Course (s) Training: Completion of coding certificate program, associates or bachelorâ��s degree in health information managementRequired Certification:
CCS, RHIT, or RHIA from AHIMA; and/or COC, CPC, or CIC from AAPC
Skills-Machines: Computer and phones
Working knowledge of MS Office Suite, electronic medical record, and encoder
Conditions: Remote Office Setting
Preferred: RHIT, CCS, and/or RHIA
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Job: Medical Records
Primary Location: Palm Springs, California
Facility: Desert Regional Medical Center
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.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.