Position Summary:
Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.
Essential Functions and Responsibilities as Assigned:
- Responsible for outpatient coding and charge validation (charge entry) in multiple specialties
- Responsible for coding (inclusive of < 30 days of LOS and >30 days of LOS)
- Reviews, identifies and assigns ICD-10-CM, CPT-4 with charge validation and ICD -10-CM/ICD -10-PCS codes
- Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary.
- Validates CPT -4 codes (charges) captured by McLaren departments such as hard-coded charges for services provided on specific encounters.
- Performs research and investigation regarding National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim.
- Determines the correct principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.
- Meets and/or exceeds the established quality standard of 95% accuracy rate while meeting and/or exceeding production standards.
Qualifications:
Required:
- Associate's degree in HIT, Applied Science, Liberal Arts or other healthcare related field.
- 2 years of Facility Inpatient, Outpatient or Professional Coding experience.
- Certified in one of the following:
- AHIMA Certification (such as: RHIA, RHIT, CCS)
- AAPC Certification (such as: CPC, CCC, COC, CIC, CHONC etc.)
- AMAC Certification such as: ROCC (Radiation Oncology Certified Coder)
Preferred:
- 3 years of Facility Inpatient, Outpatient or Professional Coding experience.
Additional Information
- Schedule: Full-time
- Requisition ID: 26012297
- Daily Work Times: 8am - 4:30pm
- Hours Per Pay Period: 80
- On Call: No
- Weekends: No