HIM Hospital Coder II Job at APR Consulting Inc

APR Consulting Inc Pasadena, CA 91188

Job Information

  • Date Posted
    2025-04-12
  • Location
    Pasadena, CA 91188
  • Job Title
    HIM Hospital Coder II
  • Gender
    Both
A healthcare client is looking for a HIM Hospital Coder II who may assist and be a resource for data integrity for other employees who need clarification and assistance in coding.

Location: Pasadena, CA 91188 (100% Remote)
Position: HIM Hospital Coder II
Pay Rate: $45.42/hr.
Duration: 12 months
Expected Shift: Flex schedule M-Saturday 6am-6pm (time zone flex as well)

Job Summary:
  • Positions assigned to this classification are differentiated from those assigned to the Hospital Coder I classification in that only the former are typically characterized by the performance of a higher, more complex, and responsible level of work generally associated with - but not limited to - the coding of in-patient Medicare medical records/data. Coders II also differ from Coders I in the type and amount of supervision received; responsibility for data comprehensiveness and quality assurance; direction provided to other staff; data analysis, knowledge of procedures related to the sequencing of diagnoses and interventions, as well as data management policies and procedures; required quantity and quality performance standards.

Job Duties:
  • Review medical records to identify diagnoses/procedures. Independently organizes and prioritizes all work to ensure that records are coded in timeframes that will ensure compliance with regulatory requirements.
  • Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-10-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines and other appropriate classification systems.
  • Demonstrates knowledge of anatomy and physiology to interpret general medical classifications for coding discharge data including the most complicated encounters/cases.

Job Requirements:
  • This position requires certification as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Need to have at least one (1).
  • Completion of classes in medical terminology, anatomy and physiology, ICD-10 and CPT coding conventions, and disease process from an accredited program.
  • Must have high school diploma or GED.
  • Must have at least three (3) years hospital inpatient experience coding within the last five years.

PHYSICAL AND MENTAL DEMANDS:
  • Ability to sit for long periods of time.
  • Ability to lift, push or pull 11 to 20 pounds.
  • Occasional bending, stooping, kneeling, crouching, reaching.
  • Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements.
  • Ability to concentrate and maintain accuracy in spite of frequent interruptions.
  • Manual dexterity.

PREFERRED QUALIFICATIONS:
  • Background knowledge analysis, assembly, terminal digit filing, and physician’s incomplete processing preferred.

ASSIGNS CODES:
  • Codes all diagnostic and operative information from the medical record using ICD-10-CM, CPT and HCPCS coding classification systems and independently quality checks own work.
  • Selects the DRG for each inpatient case.
  • Optimizes hospital payment legitimately and ethically by utilizing approved coding guidelines and conventions.
  • Reviews DRG discrepancies from the fiscal intermediary to ensure the appropriate per case DRG assignment.
  • Verifies and abstracts all medical data from the record to complete a data abstract on each hospital encounter. Corrects data as appropriate.
  • Ensures that all data abstracted is consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.

COMPLETION OF MEDICAL RECORDS:
  • Interacts with physicians to clarify and accurately document patient diagnostic and procedural information.
  • Enters patient information into the computerized inpatient and outpatient medical record databases, ensuring the accuracy and integrity of the medical record abstract data prior to transmitting case to Government Reimbursement for billing.
  • Ensures timely record availability by meeting established coding and abstracting productivity standards.
  • Independently conducts medical record documentation auditing to monitor physician compliance with regulatory requirements i.e., Physician Review Project.

CONFIDENTIALITY/SECURITY OF SYSTEMS:
  • Maintains and complies with policies and procedures for confidentiality of all patient records.
  • Demonstrates knowledge of security of systems by not sharing computer logons.

CORPORATE COMPLIANCE ACCOUNTABILITY:
  • Consistently supports the precepts of corporate compliance and Principles of Responsibility by maintaining confidentiality, protecting the assets of the organization, acting with integrity, reporting observed fraud and abuse and complying with applicable state, federal and local laws and program policies and procedures.

Other Duties:
  • Answer the telephone promptly and identifies themselves and the department.
  • Acts as an expert resource person to other coders and personnel in other hospital departments regarding coding questions and issues.
  • Other duties as assigned by supervisors.

About our client
Our client is one of the largest non-profit health plans founded in 1945 which offers comprehensive, affordable health coverage plans for individual & family, Medicare, employers, and large group.

This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.

Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!

#SLA



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