The Coder IV is a key member of the Coding Team and has shared accountability for the success of the department.
The Coder IV reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. This includes, but is not limited to, various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references, including electronic, to perform coding related tasks. The Coder IV maintains an understanding of and ensures compliance with, all applicable Official Coding Guidelines. This position advanced experience and judgment to plan and accomplish goals.
Facility
The Level IV inpatient coder's primary task is to code inpatient accounts. Proficiency in ICD-10-CM diagnosis coding and PCS, including DRG coding required. Experience with writing physician queries required.
Professional
The Level IV coder's primary task is coding complex inpatient, observation, surgical and procedural based areas. Proficiency in ICD-10-CM diagnosis coding and CPT procedure coding required.
Essential Functions:
Meets or exceeds the minimum coding productivity standard for the type or coding performed. Submits a fully completed and accurate production log weekly in a timely manner. Meets or exceed the minimum coding accuracy rate of 95%. Meets or exceeds the minimum timeliness standard. (85%)
Participates in coder and provider education including documentation improvement efforts for providers. Interacts with provider, nursing staff and departments as assigned. Assist in the training and quality assurance of all coding levels. Completes any required coding training or other assigned coding instruction. Participates in departmental coding and educational meetings and roundtables. Maintains current coding credential. (10%)
Follows all departmental and DHHA procedures. Follows directions given by coding Management. Manages resources in a conservative, responsible and cost-effective manner. Ensures confidentiality of patient information by creating and maintaining a secure and trusting environment by not sharing information learned on the job, except when necessary in the performance of the job responsibilities. Works as a member of a coding team for the successful benefit of the department and DHHA. Strives for strong unit cohesion by working well with other members of the team and performing tasks in a manner that maintains the unit cohesion. (5%)
Education:
Post High School Diploma or Certificate Program Required
Work Experience:
Five years medical coding with multi-specialty experience or specialty certification Required and
Two years’ experience in an academic setting Required and
CCS-Certified Coding Specialist - AAPC - American Academy of Procedural Coders Required
Knowledge, Skills and Abilities:
Applies advanced knowledge of coding and compliance with a working knowledge of hospital based, teaching physician guidelines.
Knowledge of encoder and data abstraction software.
Strong knowledge of billing and reimbursement.
Possess good oral and written communication skills.
Possess strong organizational skills and the ability to work independently and meet deadlines.
Able to think critically.
Must be capable of reading and interpreting coding guidelines and making subsequent coding decisions.
Knowledgeable in researching coding related topics and issues.
Strong oral and written communication skills with demonstrated ability to give professional presentations.
Ability to handle a fast paced environment and be a positive role model.
Must pass a coding proficiency pre-hire test with 85% accuracy or higher.
Good computer keyboarding skills
Knowledge of Microsoft Office Suite.
Epic experience helpful.
Encoder experience helpful.
Shift
Days (United States of America)
Work Type
Regular
Salary
$31.02 - $44.98 / hr
Benefits
At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you.
Here is a small list of our benefit programs:
Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
About Denver Health
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.
As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.