OP Coder Auditor Trainee

About the Role

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states, providing over 3.0 million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity.

Responsibilities

• Reviews and analyzes documentation in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by Coders, Clinical Documentation Specialists (CDS), or Computer Assisted Coding (CAC) software.
• Finalizes the coding and abstracting of the medical record, ensuring the assignment of International Classifications of Diseases (ICD-9-CM or ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS) codes are accurate and supported by clinical documentation.
• Holds a senior coding position, assuming primary responsibility for DRG validation and accuracy.
• Assists CDS and medical staff members with improving the quality of clinical documentation.
• Participates in chart review projects as assigned and performs other duties as needed.

Requirements

Education and Work Experience

• Medical Graduate, PA, or Nursing Graduate required.
• Basic computer experience required.
• Use of an encoder software product for code assignment in an acute care setting required.

Preferred Qualifications

• Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm.
• Excellent written and verbal communication skills.
• Excellent critical thinking skills.
• Excellent interpersonal skills to build effective partnering relationships with physicians, nursing staff, coding staff, and hospital management.
• Ability to work independently in a time-oriented environment.
• Computer literacy and familiarity with basic office equipment.
• 1+ year of clinical experience in an acute care setting preferred.

Pay

A reasonable compensation estimate for this role is $26.04 to $32.37 per hour. The exact starting compensation will be determined based on factors such as skillset, years of applicable experience, education, credentials, and licensure.

Benefits

Prime Healthcare offers a comprehensive benefits package that provides flexibility to tailor benefits according to individual needs. Our Total Rewards package includes, but is not limited to:

• Paid time off
• 401K retirement plan
• Medical, dental, and vision coverage
• Tuition reimbursement
• Many more voluntary benefit options

Schedule

• Full Time
• Day Shift