Extract and analyze clinical information and translate into the most accurate ICD-10-CM, CPT, and other specialized codes and modifiers to ensure appropriate reimbursement and accurate and reliable data for research, statistics, financial planning, compliance, and marketing. Make corrections to coding edits and charges. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine – Sparrow policies and procedures and maintains required quality and productivity standards.
- Extract, review, and analyze clinical information, identify and abstract all pertinent information, and translate data into appropriate ICD-10-CM, CPT, and other specialized codes and modifiers for reimbursement, research, statistics, financial planning, compliance, and marketing.
- Work efficiently under fast-paced circumstances to meet turnaround time requirements and meet or exceed departmental performance standards.
- Exercise independent judgment in determining case complexity by utilizing clinical knowledge to understand etiology, pathology, signs, symptoms, diagnostic studies, treatment modalities, and prognosis.
- Research complex diagnoses and/or procedures as needed to enhance coding knowledge to ensure correct code application.
- Identify issues and make recommendations for resolution and improvement.
- Escalate patient safety, customer service, quality, and compliance concerns to leadership; communicate regarding policies and procedures.
- Interact with providers and query medical staff professionally to obtain accurate documentation for coding compliance.
- Attend and participate in in-services and staff meetings to expand job-related knowledge and skills.
- Maintain currency with work processes, tools, clinical and administrative applications, including coding guidelines and publications.
- Attend required meetings and complete annual learning programs for continued education and growth.
- Ensure accuracy and maintain established quality and productivity standards and key performance indicators.
- Understand departmental and unit policies and procedures and seek clarification as needed.
- Comply with regulatory, legal, and accreditation requirements.
- Adhere to safety programs.
Requirements & Qualifications
- Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Registered Health Information Management Technician (RHIT), or Registered Health Information Administrator (RHIA).
- Member of AHIMA in good standing with completed required continuing education.
- Minimum 1 year recent facility coding experience; per diem candidates require minimum 3 years outpatient and/or ED coding experience.
- High School Diploma/GED required; Associate Degree in Health Information Technology/Management preferred.
- Must pass departmental testing: typing (40 wpm), analytical skills (70%), coding proficiency (80%).
- Experience in a major academic medical center and familiarity with ICD-10-CM and CPT preferred.
- Proficiency with Microsoft Office (Word, Excel, PowerPoint) and computer-assisted-coding and encoder/grouper preferred.
Location
Michigan, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago