NEOGOV · 12 hours ago
Coder II - Trauma Administrative Services Department
San Jose Metropolitan Area, CA
Full-time
Onsite
Entry, Mid Level
$96K/yr - $117K/yr
2+ years expNEOGOV is seeking a Coder II for the Trauma Administrative Services Department at Santa Clara Valley Health Care. The role involves performing moderately complex coding and abstracting of medical service records in accordance with federal and state coding guidelines.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Reviews, abstracts, and codes medical-record data using coding systems such as ICD-9-CM, CPT-4, and HCPCS or subsequent adaptations
May perform coding review or audit of provider charges submitted electronically, charge ticket, or electronic file
Provides CPT and ICD-9 codes to unit and other staff when required
Records the coding information into the appropriate charge system such as a computer system, paper-charge ticket, and/or electronic file
Reviews and abstracts procedural, diagnostic services, and/or facility level of services from the medical record and assigns the appropriate coding
Identifies and assigns diagnosis, CPT procedural codes, HCPC codes or facility level of service utilizing the current adaptation of the International Classification of Diseases (ICD-9-4), CPT-4, HCPC or LOS
May assign unique coding required by MediCal or other third-party payers when different than the industry standard by CMS
Applies knowledge of anatomy, physiology, disease processes, and medical terminology to accurately assign and sequence the procedural coding, diagnoses, or HCPC codes
Accurately assigns Medicare Severity Diagnosis Related Group (MSDRG) and Ambulatory Payment Classification (APC) number or other coding classifications
(In Diagnostic Imaging Unit) Reviews various radiology reports for appropriate CPT codes and assigns codes accordingly using ICD-9 code set or subsequent adaptation (such as ICD-10) and performs other coding-related duties pertaining to diagnostic imaging
Participates in the development of policies and procedures; supports the implementation of departmental policies and procedures
Reviews Coder I work for completeness and correctness, and assists in the orientation of new staff to the unit
Reviews and resolves charge errors and/or coding discrepancies
Follows department policy regarding notification of incomplete or missing information from the patient record
Communicate with other departments and providers regarding account clarification and corrections
Maintains HIPPA confidentiality, privacy, and security of all patient-related information
Maintains harmonious work relationships
May be assigned as a Disaster Service Worker, as required
Performs other related work as required
Qualification
Required
Possession of a high school diploma (or GED equivalent)
Possession of a Certified Abbreviated Injury Scale Specialist (CAISS) certification
Two (2) years experience as a medical coder which included coding outpatient and/or inpatient records using ICD-9 diagnosis (or subsequent ICD adaptation), procedures CPT codes, HCPS coding system
Knowledge of coding guidelines, abstracting, and medical terminology to utilize and assign appropriate coding: current ICD-9-CM and CPT-4, HCPCs or subsequent adaptations
Knowledge of computer encoding software programs, online tools, coding references and websites
Knowledge of the principles and practice of accurate and compliant abstracting and coding techniques
Knowledge of comprehensive medical terminology, anatomy and physiology, and disease processes related to medical specialties
Knowledge of components and format of the hard copy and/or electronic version of medical record
Knowledge of English grammar, punctuation, spelling, and general English usage
Knowledge of computerized patient data systems
Ability to read and comprehend the elements of a medical chart, medical-record notes, and reports
Ability to analyze, code, and abstract moderately-complex technical data from medical records
Ability to identify missing elements, inferred between procedural and treatment relationships
Ability to properly sequence abstracted/coding information from a medical record
Ability to read and understand medical record notes and reports and accurately classify all diagnoses and procedures
Ability to effectively use the various computer systems necessary to perform job functions
Ability to communicate clearly, both orally and in writing, with medical and nursing staff, employees at all levels of the organization, patients, and the public
Ability to plan, organize, and prioritize work, and meet deadlines
Ability to reason logically, and use sound judgment in the performance of duties
Preferred
Knowledge of trauma data management principles and methods
Experience with trauma registry practices and data analysis in a trauma center setting
Benefits
Comprehensive first-class medical, dental, and vision benefits plans for County employees and their dependents
Generous paid time off with significant vacation, sick time, and 13 paid County holidays annually
Robust retirement plans including a 457(b) Deferred Compensation Plan and the CalPERS pension plan
Health Flexible Spending Account (HFSA)
Dependent Care Assistance Program (DCAP)
Life and AD&D Insurance
Employee Assistance Program (EAP)
Employee Wellness Program
Education Reimbursement
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
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2025 (11)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
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