PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

This position is responsible for auditing health records to determine whether the code assignment is substantiated by provider documentation for inpatient and ambulatory hospital based encounters. Analyzes data from PEPPER and ICD-10 reports to identify trends and educational opportunities. Develops and presents coding and documentation education materials concerning ICD-9 CM, ICD-10 CM and PCS, CPT, HCPCS, APC, DRG and coding guidelines to clinical, HIM coding, clinical documentation integrity and medical staff.

Required Skills

• Demonstrates expert technical knowledge of ICD-10-CM disease and procedural coding, CPT-4 and HCPCS procedural coding.
• Must have a thorough knowledge of anatomy and physiology and medical terminology.
• Knowledge of Office of Statewide Health Planning and Development (OSHPD) and Uniform Hospital Discharge Data Set (UHDDS) required.
• Knowledge of Case Mix Index required. Familiarity with computers, and encoding software and the general principles of medical record science is preferred.
• Use of Excel spreadsheet program is required.
• A high level of professionalism and effective communication skills is needed for interaction with physicians, physician office staff, hospital staff, patients and hospital visitors.

Required Experience

• Current American Health Information Management Association (AHIMA) certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required.
• An Associate of Science or Bachelor of Science degree in Health Information from an approved AHIMA program is preferred.
• One-year experience in coding auditing in an acute hospital setting or experience with education/training in ICD- 9CM, CPT, and reimbursement methodologies.
• AHIMA approved ICD-10 trainer certificate preferred.
• Knowledge of clinical documentation integrity and experience using a computerized abstracting system is preferred.
• Experience in analysis of coded data and presentation of findings required.

Beyond the benefits that come with working for the area's leading community healthcare provider – one that also recognizes the need to ensure patient safety and comfort – you'll enjoy an extremely competitive compensation and benefits package. We are an equal opportunity employer and seek diversity in our workforce. EOE M/F/D/V

• Demonstrates expert technical knowledge of ICD-10-CM disease and procedural coding, CPT-4 and HCPCS procedural coding.
• Must have a thorough knowledge of anatomy and physiology and medical terminology.
• Knowledge of Office of Statewide Health Planning and Development (OSHPD) and Uniform Hospital Discharge Data Set (UHDDS) required.
• Knowledge of Case Mix Index required. Familiarity with computers, and encoding software and the general principles of medical record science is preferred.
• Use of Excel spreadsheet program is required.
• A high level of professionalism and effective communication skills is needed for interaction with physicians, physician office staff, hospital staff, patients and hospital visitors.