Hoag

Role Description The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. - Verifies that all ICD-10-CM and CPT codes are correctly captured. - Verifies that physician is correctly abstracted. - Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance, or related in-services. - Participates in internal and external quality review meetings. - Performs other duties as assigned. - Resolves billing-related errors and assists with workflow changes and process improvement projects. - Meets ongoing productivity and quality standard of 95% accuracy rate or better. - Assigns codes for diagnoses, treatment, and procedures for inpatient surgeries. - Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions, and surgical procedures. - Abstracts correctly all required information from record including the correct discharge disposition and OSHPD required information. - Assigns correct MS-DRG and APR-DRG and correct Present on Admission (POA) indicators and identifies (HAC) Hospital Acquired Conditions. - Queries physicians per established policy and procedure when documentation is not clear or conflicting. - Follows all coding conventions and serves as a coding consultant to Hoag providers. - Identifies discrepancies that may impact quality of care and/or billing issues. - Serves as a resource and subject matter expert to other coding staff. - Completes coding charge review and claim edits in Epic or other appropriate EMR system. - Reviews and communicates with providers on E/M Leveling/Coding. - Codes specialty specific outpatient surgeries/same day procedures. Qualifications - Experience in medical coding. - Knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding systems. - Ability to maintain a high level of accuracy in coding. - Strong communication skills. - Ability to work collaboratively with healthcare providers. Requirements - Must meet ongoing productivity and quality standard of 95% accuracy rate or better. - Must participate in internal and external quality review meetings. - Must keep abreast of coding guideline changes. Benefits - Comprehensive health care services. - Opportunities for professional development. - Supportive work environment. Company Description Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers, and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit, and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Role Description The Nurse Practitioner provides high quality advanced nursing care in accordance with professional regulatory standards and within the scope of the nurse practitioner license. This role provides multidisciplinary care including: - Patient evaluations and assessments - Patient education and interventions - Documentation of plan of care - Requests for physician consultations and multidisciplinary consults - Conferring with appropriate resources and staff on ethical/legal/medical dilemmas - Working as an independent provider and/or under indirect supervision of a supervising physician - Treating a variety of age populations Depending on the area, may work different hours, weekends, and holidays, and may require on-call time. Privileges granted by the Medical Staff Department can include: - Arranging admission and transfer of patients - Performing and dictating exams, history and physicals - Rounding on assigned patients and writing progress notes with plan of care - Dictating discharge summaries - Furnishing medications (non-narcotic) and durable medical equipment (DME) - Ordering blood products, laboratory tests, radiological, ultrasound, nuclear medicine, and neurological studies - Administering oxygen therapy, respiratory treatment, and pulmonary tests - Performing drain and suture removal - Ordering and administering medications and IV therapy with the ability to assess and adjust appropriate dosing Performs other duties as assigned. Hoag Compass – Jamboree: In addition to the above, the Hoag Compass Nurse Practitioner provides support through a face-to-face, chat, texting, or video platform. Must be competent in the use of Consumer Health technologies and software, for example, fitness wearables and health software applications. Hospice: In addition, the Hospice Nurse Practitioner is responsible for: - Providing explanation of benefits to GIP program and home hospice candidates (or their DPOA) - Admitting patients to the hospice GIP program - Functioning as an integral member of the hospice interdisciplinary team - Providing daily visits for hospice care patients - Coordinating their plan of care with other designated hospice and hospital staff - Fulfilling the requirements of the “face-to-face encounter” with a Medicare beneficiary enrolled in hospice on an as-needed basis Heart Valve Clinic: In addition to the above, the Heart Valve Clinic Nurse Practitioner may be responsible for providing advanced clinical care to patients with complex heart failure across inpatient and outpatient settings, working closely with cardiologists, surgeons, and the multidisciplinary team. Qualifications - Advanced nursing care experience - Competency in Consumer Health technologies and software - Ability to work independently and as part of a team Requirements - Current nurse practitioner license - Ability to work flexible hours, including weekends and holidays - On-call availability as required Benefits - Comprehensive health care services - Supportive work environment - Opportunities for professional growth Company Description Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of: - Three acute-care hospitals - Sixteen urgent care centers - Eleven health centers - A network of more than 1,800 physicians - 100 allied health members - 8,000 employees - 2,000 volunteers More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind.

Role Description The Epic Professional Billing Application Analyst II is responsible for configuring, testing, implementing and supporting the clinical, financial, or administrative Epic modules within their area of support. - Oversees practices and processes to ensure integrity, safety and availability of all data and application, supporting the goals and objectives of the customer as well as business needs of Hoag. - Collaborates with key stakeholders, end users and other members of the business teams to optimize system configuration, function and access. - Recommends technology solutions based on business needs. - Independently manages problem tickets and service requests, customer requests for system changes, data retrieval requests, system performance problems and optimization opportunities. - Troubleshoots and resolves highly complex application errors and other system issues. - Actively leads and takes ownership for the build and maintenance of various system dictionaries, profiles, tables and other configuration points. - Identifies system enhancement requests and works with the team to implement as applicable. - Independently manages small to medium-sized optimization requests. - Demonstrates capacity to take on progressively larger and more complex requests. - Coordinates with the vendor as appropriate. - Tests the system, including any configurations, customizations and new releases, prior to production implementation. - Works with end-users to assist with the design and testing of system reports and communicate changes to end users and other staff as applicable. - Participates as a team member in various projects. - Prepares for and participates in system design, validation and/or remediation sessions. - Understands data flow and supports/develops interface files. - Develops and maintains documentation (knowledge base articles) outlining standard operating and support procedures. - Performs all the functions above with minimal supervision. - Performs other duties as assigned. Company Description Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. - For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. - Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. - Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. - Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. - The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, visit: Hoag Awards and Accreditations . Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Role Description The Triage Nurse I provides professional telephone triage nursing services to Hoag Clinic patients. This role includes: - Performing detailed evaluation of patient symptoms and determining urgency of patient condition. - Facilitating next steps in patient care and making recommendations for escalation of care. - Providing appropriate medical advice on treating symptoms. - Providing patient education and incorporating available education material. - Communicating changes in patient condition to health care provider. - Responding to emergency situations. - Collaborating with other members of the health care team to ensure quality patient care. - Documenting all nursing services provided in the patient record. - Utilizing the nursing process based on research and evidence-based outcomes to meet patient care needs. - Facilitating appropriate utilization of healthcare resources. - Enhancing the patient experience. - Providing services in compliance with all applicable regulatory and professional standards, including the California Nurse Practice Act. - Performing other duties as assigned. Company Description Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of: - Three acute-care hospitals. - Sixteen urgent care centers. - Eleven health centers. - A network of more than 1,800 physicians. - 100 allied health members. - 8,000 employees. - 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in: - Cancer. - Heart and vascular. - Neurosciences. - Women's health. - Orthopedics. - Digestive health. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, visit: Hoag Awards and Accreditations . Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment.

Role Description The Epic Certified ClinDoc Application Analyst II is responsible for configuring, testing, implementing and supporting the clinical, financial, or administrative Epic modules within their area of support. - Oversees practices and processes to ensure integrity, safety, and availability of all data and applications as part of the organization’s systems. - Responsible for planning and system development, project management, and application administration. - Collaborates with key stakeholders, end users, and other members of the business teams to optimize system configuration, function, and access. - Facilitates team discussions and completion of tasks that require multiple resources. - Must be knowledgeable about the organization’s policies, procedures, and business operations. - Evaluates problem tickets and service requests, customer requests for system changes, data retrieval requests, system performance problems, and optimization opportunities. - Independently resolves the most complex, multi-function application errors and other system issues. - Primary responsibility for the build and maintenance of various system dictionaries, profiles, tables, and other configuration points. - Identifies system enhancement requests and works with the team to implement as applicable. - Independently manages the full lifecycle of medium to large optimizations. - Coordinates with the vendor as appropriate. - Tests the system, including any configurations, customizations, and new releases, prior to production implementation. - Works with end-users to assist with the design and testing of system reports and communicate changes to end users and other staff as applicable. - Leads or facilitates system design, validation, or remediation sessions. - Advanced understanding of how assigned application impacts other systems and works with integration teams to resolve complex data integration issues. - Leads large projects and functions as a subject matter expert on complex, cross-functional projects. - Provides guidance to level I and II analysts. - Performs above functions with minimal oversight. - Performs other duties as assigned. Company Description Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers, and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit, and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, visit: Hoag Awards and Accreditations . Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Role Description The Utilization Nurse utilizes clinical expertise, discretion, and independent judgment to utilization management and care coordination methodologies and practices, focusing on the needs of Hoag Hospital and its affiliates (the “Organization”) patient population in partnership with the Organization’s physicians, staff, and inpatient providers. - Responsible to determine medical necessity of inpatient utilization that includes but not limited to: - IP admission - Continued stay (concurrent) - Observation days - Assist in the implementation of the discharge plan based upon: - Physician’s treatment plan/order - Patient’s plan benefits - Contracted providers/vendors - Medical appropriateness - Responsible for medical necessity review of incoming referrals, including: - Pre-Service - Retro - Post Claims requests - Review submitted requests and supporting clinical records for: - Medical Necessity - Clinical Appropriateness - Standards of Care - Experimental and Investigational services - Efficient use of health care services consistent with Federal, State, Health Plan, Accreditation (URAC, NCQA) and national evidence-based clinical criteria/guidelines Company Description Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of: - Three acute-care hospitals - Sixteen urgent care centers - Eleven health centers - A network of more than 1,800 physicians - 100 allied health members - 8,000 employees - 2,000 volunteers More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of: - Quality and service - People - Physician partnerships - Strategic growth - Financial stewardship - Community benefit and philanthropy Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of: - Cancer - Heart and vascular - Neurosciences - Women's health - Orthopedics - Digestive health Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, visit: Hoag Awards and Accreditations . Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Role Description The Program Manager Sr – Digital Operations is accountable for the clinical, operational, and financial performance of Hoag’s digital care programs and platforms. This role ensures digital solutions translate into reliable, high-quality care delivery through close partnership with Clinical Leadership, Digital Product, IT, and Operations teams. - Direct accountability for achieving defined targets across staffing models, service levels, clinical throughput, patient experience, and P&L performance (including revenue, utilization/member targets, and cost efficiency). - Success is measured by consistently meeting or exceeding agreed-upon clinical and operational SLAs while delivering sustainable financial outcomes. - Leads the operationalization and safeguarding of AI-enabled digital tools within the EHR, ensuring safe, compliant, and effective use in clinical care. Qualifications - Experience in managing digital care programs and platforms. - Strong leadership skills with a focus on operational accountability. - Proven track record in achieving financial performance targets. - Knowledge of AI-enabled tools and their application in clinical settings. Requirements - Own day-to-day operational accountability for digital care platforms, ensuring performance meets defined targets (e.g., access/response times, time-to-care, visit completion, abandonment rates). - Act as primary operational owner for issue resolution and escalations, driving corrective action when SLAs are at risk. - Monitor utilization and access trends (e.g., demand vs. capacity, conversion to care, appropriate deflection), translating insights into measurable improvements. - Lead virtual Care Coordinators with accountability for staffing coverage, productivity, and quality outcomes aligned to clinical SLAs. - Define and enforce staffing models and workflows to meet throughput and experience targets (e.g., average handle time, escalation response, documentation completeness). - Partner with HR and clinical leaders on hiring, onboarding, and capability development to maintain operational readiness. - Own P&L performance for assigned programs, accountable for meeting revenue, utilization/member growth, cost, and margin targets. - Manage budgets and forecasts; proactively identify risks and opportunities impacting financial performance. - Evaluate operational ROI (e.g., cost avoidance, appropriate utilization, productivity gains) and partner with Finance to drive value realization. - Lead operational readiness, UAT coordination, and launch execution once product scope and design are defined. - Define care workflows, escalation pathways, documentation standards, and clinical SLAs required for safe, scalable deployment (e.g., response times for urgent vs. non-urgent cases). - Drive post-launch optimization based on real-world clinical, operational, and financial performance. - Lead operational readiness for AI-enabled workflows (including LLM-based experiences) within the EHR. - Define appropriate use, guardrails, and human-in-the-loop escalation (e.g., safety-sensitive intents routed to clinicians within defined timeframes). - Oversee clinical testing, evaluation, and monitoring to ensure patient safety, quality, and regulatory alignment. - Define dashboards tied to clinical outcomes, SLAs, and financial performance; translate results into actionable recommendations. - Maintain a continuous learning mindset, staying current on digital health, virtual care, and AI through ongoing self-directed education and applying relevant insights to improve outcomes. - Other related duties as assigned. Benefits - Comprehensive health care services. - Personalized care that is unsurpassed among Orange County’s health care providers. - Opportunities for professional development and growth. Company Description Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Primary Duties and Responsibilities The Claims Auditor is responsible for performing pre-payment and post-payment audits ensuring financial and processing accuracy, compliance with regulatory and health plan requirements of claims processed. The Claims Auditor is responsible for auditing and confirming accuracy of the loading of: - Fee schedules - Provider contracts - Payor contracts - Benefits - Code changes - System enhancements Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Primary Duties And Responsibilities - The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. - Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. - Performs other duties as assigned. Medical Coding - Hoag Hospital - In addition to the above, the coder resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality standard of 95% accuracy rate or better. Identifies chargeable items and facility level for emergency department visits. - Additionally, the Coder II assigns codes for diagnoses, treatment, and procedures for Outpatient Procedures. The Medical Coding department also assigns codes for the Emergency Department and identifies chargeable items and facility level for emergency department visits, including observation services. - Claims – Coder II coders may assist the Fiscal Coder or Biller with working the front end or backend edits on accounts that require a coder to review. Works with Fiscal Coder or Revenue Cycle Team to review correct coding and/or modifier assignment. - May work remotely if minimum technology requirements, productivity and quality requirements are met and the Telecommuter Work Agreement is signed and adhered to. Coding - Hoag Clinic - In addition to the above, the coder meets ongoing productivity and quality standard of 95% accuracy rate or better. The coder follows all coding conventions and serves as a coding consultant to Hoag providers. Discrepancies are identified that may impact quality of care and/or billing issues. The coder will serve as a resource and subject matter expert to other coding staff. - Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, CPT, E/M, and procedure codes. Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Primary Duties And Responsibilities - The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. - Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. - Performs other duties as assigned. Medical Coding - Hoag Hospital - In addition to the above, the coder resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality standard of 95% accuracy rate or better. Identifies chargeable items and facility level for emergency department visits. - Additionally, the Coder II assigns codes for diagnoses, treatment, and procedures for Outpatient Procedures. The Medical Coding department also assigns codes for the Emergency Department and identifies chargeable items and facility level for emergency department visits, including observation services. - Claims – Coder II coders may assist the Fiscal Coder or Biller with working the front end or backend edits on accounts that require a coder to review. Works with Fiscal Coder or Revenue Cycle Team to review correct coding and/or modifier assignment. - May work remotely if minimum technology requirements, productivity and quality requirements are met and the Telecommuter Work Agreement is signed and adhered to. Coding - Hoag Clinic - In addition to the above, the coder meets ongoing productivity and quality standard of 95% accuracy rate or better. The coder follows all coding conventions and serves as a coding consultant to Hoag providers. Discrepancies are identified that may impact quality of care and/or billing issues. The coder will serve as a resource and subject matter expert to other coding staff. - Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, CPT, E/M, and procedure codes. Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.