Jobs · Colorado

Medical Coder III

DaVita Kidney Care · Denver, CO · 1 mo ago
Hybrid$26.5–$40.5/hrFull-time
We need to output HTML fragment with sections: About the role? The posting includes description after posting date: "The Health Information Management (HIM) Medical Coder III of the Coding/Audit team will support DaVita’s HIM Coding and Audit operations. This position assists in developing or revising procedures to achieve maximum efficiency with the coding and auditing processes, mentors new and/or existing staff to achieve maximum autonomy and professional knowledge, and provides problem resolution for internal and external partners." That's about the role. Then Essential Duties & Responsibilities (list). Then Qualifications & Requirements (list). Then What We’ll Provide (benefits). Also there is wage range: "The Wage Range for the role is $26.50 - $40.50/hour." That's pay info, so we need a Pay section. Also schedule? Not mentioned. So we include Pay section with that wage range. Benefits section: we have bullet list of benefits. Also there is mention of "More than just pay, our DaVita Rewards package..." and bullet list. So Benefits section. We must not include boilerplate like EEO, etc. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we need to strip out the EEO paragraph, the "This position will be open for a minimum of three days.", the wage range link, the Colorado resident notice, Beware of Recruitment Fraud, Career Growth paragraph, etc. We need to preserve all substantive information. So we keep the description, duties, qualifications, benefits, pay. We need headings: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We need to decide which headings to use based on content. We have About the role (intro). Responsibilities (Essential Duties & Responsibilities). Qualifications & Requirements (maybe combine Qualifications and Requirements). Could also have Skills (technical skills). But we can combine Qualifications & Requirements as one heading "Qualifications". Or we could split: Qualifications (education, certifications, experience) and Skills (technical skills). The instruction: prefer a few substantive sections over many thin ones. So maybe we have About the role, Responsibilities, Qualifications, Benefits, Pay. That's five sections. We need to use
  • for any list of duties/requirements/benefits. So for Responsibilities we list each duty as
  • . For Qualifications we list each requirement as
  • . For Benefits we list each benefit as
  • . For Pay we just have a

    with wage range. We must not repeat the job title as a heading. The page already shows it, so we don't add a heading for the title. We must not put Job ID/requisition numbers as headings; none present. We must output only HTML fragment, no /, no markdown fences. Let's extract content. About the role paragraph: "The Health Information Management (HIM) Medical Coder III of the Coding/Audit team will support DaVita’s HIM Coding and Audit operations. This position assists in developing or revising procedures to achieve maximum efficiency with the coding and auditing processes, mentors new and/or existing staff to achieve maximum autonomy and professional knowledge, and provides problem resolution for internal and external partners." Responsibilities: list from "Essential Duties & Responsibilities" bullet points (though they are sentences separated by periods). We need to break into list items. Let's list them: - Review clinical notes, dialysis encounter logs, physician orders, diagnostic reports, and patient comorbidity documentation to extract relevant clinical data. - Assign and sequence accurate ICD-10-CM, CPT, and HCPCS codes and appropriate billing modifiers according to official coding guidelines, CMS rules, and DaVita compliance standards. - Validate, edit, and finalize automated coding recommendations generated through CWOW and Computer-Assisted Coding engines. - Verify that patient diagnoses, dialysis prescriptions, and treatment details match billing requisitions. - Investigate, correct, and appeal complex claim denials resulting from coding mismatches, bundling rules, medical necessity requirements, or payer-specific guidelines. - Coordinate with Billing, Collections, and Clinical Documentation Integrity (CDI) teams to ensure root causes of recurring claim errors are addressed. - Conduct documentation and coding audits in accordance with DaVita Clinical Medical Record Policies and Procedures (P&Ps) and state-mandated audit requirements. - Ensure full adherence to HIPAA regulations and protect Protected Health Information (PHI) at all times. - Act as a senior technical SME for Medical Coder I and II teammates, providing guidance on difficult coding scenarios and payer guidelines. - Assist leadership in developing coding tip sheets, standard operating procedures, and training materials. That's 10 items. Qualifications & Requirements: we have Education, Certifications, Experience, Technical Skills. We could list each as

  • . Education: High School Diploma or equivalent required; Associate or Bachelor’s degree in Health Information Management (HIM) or a related field preferred. Certifications: Active medical coding certification required (e.g., CPC through AAPC, CCS / CCS-P / RHIT through AHIMA). Experience: 3-5+ years of progressive medical billing and coding experience (nephrology/dialysis, outpatient, or hospital coding experience preferred). Technical Skills: In-depth knowledge of ICD-10-CM, CPT/HCPCS, NCCI edits, and payer reimbursement rules; Proficiency in Electronic Health Record (EHR) systems (e.g., CWOW, Epic) and practice management tools; Working knowledge of Microsoft Office applications (Excel, Teams, Outlook, Word). We could combine technical skills into one item or separate. Probably one item. Benefits: from "What We’ll Provide" paragraph: "More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings." Then bullet list: - Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out - Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more - Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning. - At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. That last sentence is more prose, not a bullet. Could be included as a

    after list. We need to preserve all substantive information. So we include that prose as a

    after the benefits list. Pay: Wage Range: $26.50 - $40.50/hour. Also note "Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits." That's somewhat redundant with benefits; but we should keep substantive info. However we already have benefits section; the compensation sentence mentions total rewards package includes 401k match, healthcare coverage and a broad range of other benefits. That's somewhat duplicate but we can keep as part of Pay section maybe. But we should avoid duplication? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." So we need to keep that sentence. However we already have benefits section describing benefits; the compensation sentence is about total rewards package. It's not duplicate exactly; it's a statement about compensation depending on factors and total rewards package. We'll include it as a

    in Pay section. We also have link to wage rates and DaVita.jobs/WageRates; we should drop that as it's a link (maybe considered boilerplate? It's a reference for location-specific minimum wage details; could be considered substantive? It's a link; but we can drop as it's not essential detail? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This link is not exactly those; but it's a reference. Might be considered navigation? Safer to drop? The instruction says preserve ALL substantive information; the link is not substantive info, just a reference. I'd drop it. Also "Learn more at https://careers.davita.com/benefits" - that's a link; could be dropped. Also "Colorado Residents: Please do not respond..." - that's application instruction; drop. Also "Beware of Recruitment Fraud ..." - scam-warning boilerplate; drop. Also "Career Growth - From clinical and operations to corporate jobs..." - maybe not boilerplate but could be considered fluff; but it's substantive about career growth. However it's more generic; but we might keep? The instruction: prefer a few substantive sections over many thin ones. This is a thin section; we could drop as it's not essential. I'd drop. Thus final HTML:

    About the role

    The Health Information Management (HIM) Medical Coder III of the Coding/Audit team will support DaVita’s HIM Coding and Audit operations. This position assists in developing or revising procedures to achieve maximum efficiency with the coding and auditing processes, mentors new and/or existing staff to achieve maximum autonomy and professional knowledge, and provides problem resolution for internal and external partners.

    Responsibilities

    • Review clinical notes, dialysis encounter logs, physician orders, diagnostic reports, and patient comorbidity documentation to extract relevant clinical data.
    • Assign and sequence accurate ICD-10-CM, CPT, and HCPCS codes and appropriate billing modifiers according to official coding guidelines, CMS rules, and DaVita compliance standards.
    • Validate, edit, and finalize automated coding recommendations generated through CWOW and Computer-Assisted Coding engines.
    • Verify that patient diagnoses, dialysis prescriptions, and treatment details match billing requisitions.
    • Investigate, correct, and appeal complex claim denials resulting from coding mismatches, bundling rules, medical necessity requirements, or payer-specific guidelines.
    • Coordinate with Billing, Collections, and Clinical Documentation Integrity (CDI) teams to ensure root causes of recurring claim errors are addressed.
    • Conduct documentation and coding audits in accordance with DaVita Clinical Medical Record Policies and Procedures (P&Ps) and state-mandated audit requirements.
    • Ensure full adherence to HIPAA regulations and protect Protected Health Information (PHI) at all times.
    • Act as a senior technical SME for Medical Coder I and II teammates, providing guidance on difficult coding scenarios and payer guidelines.
    • Assist leadership in developing coding tip sheets, standard operating procedures, and training materials.

    Qualifications

    • Education: High School Diploma or equivalent required; Associate or Bachelor’s degree in Health Information Management (HIM) or a related field preferred.
    • Certifications: Active medical coding certification required (e.g., CPC through AAPC, CCS / CCS-P / RHIT through AHIMA).
    • Experience: 3-5+ years of progressive medical billing and coding experience (nephrology/dialysis, outpatient, or hospital coding experience preferred).
    • Technical Skills: In-depth knowledge of ICD-10-CM, CPT/HCPCS, NCCI edits, and payer reimbursement rules; proficiency in Electronic Health

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