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 requires advanced experience and judgment to plan and accomplish goals.
Proficiency in ICD-10-CM diagnosis coding and PCS, including DRG coding required.
Experience with writing physician queries required.
Meets or exceeds the minimum coding productivity standard for the type of 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%.
Works as a member of a coding team for the successful benefit of the department and DHHA.

Five years medical coding with multi-specialty experience or specialty certification Required
Two years’ experience in an academic setting Required
Proficiency in all major specialties Required
Strong procedural coding Required
Experience reviewing DRG assignment required
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.

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

Coder IV – IP DRG

Key skills