Candidates must have a primary address located within Michigan or be willing to move to Michigan to be considered.
This position codes all services including major and minor surgical cases performed in both office and hospital settings for MyMichigan Medical Group, Family Practice Center, and MyMichigan Urgent Care locations. It monitors compliance with third-party payers' guidelines to ensure maximum allowed reimbursement. Requires broad knowledge of payer rules for all insurance companies participated with, and analytical skills to code correctly for timely and accurate reimbursement. Ability to work independently and make decisions based on knowledge of CPT and ICD coding rules and regulations.
Responsibilities include coding visits and services within 48 hours, utilizing Epic coding edits, CPT Assistant, and CMS coding guidelines to ensure clean claims by correcting ICD, CPT, HCPCS codes, modifiers, and place of service. Codes major and minor surgical cases including obstetrics within 48 hours. Interacts with physicians/providers regularly to assist in improving documentation. Participates in continuing education to enhance coding knowledge.
Additional duties: Reviews and addresses patient/payer complaints, meets productivity guidelines, and other assigned tasks. Employee must demonstrate competency in Microsoft Windows and may participate in further learning opportunities offered by MyMichigan Health.
Certifications accepted: AAPC CPC, CPC-A (must obtain CPC within 365 days), CCS, CCSP, RHIT, RHIA, CCS-P.
Education: High school diploma or GED required; associate degree preferred.
Experience: Two years physician coding and billing experience and four years medical field experience preferred; one year direct physician contact preferred.
Skills: Knowledge of medical terminology and anatomy, proficiency with computers, knowledge of medical record and patient confidentiality laws, excellent organizational and communication skills.
Physical/Mental Requirements: Exposure to stress, trauma, grief, death; ability to wear PPE; mobility within facility; vision and hearing with/without assistive devices; ability to sit/stand/walk for long periods; occasional lifting 0-10 lbs; exposure to bloodborne pathogens; ability to handle multiple tasks and work independently.
Physical demand level: Sedentary.
Must have or obtain Certified Professional Coder (CPC) certification within 365 days if hired with Apprentice status (CPC-A). High school diploma or GED required; associate degree preferred. Two years physician coding and billing experience preferred; four years medical field experience preferred. One year of direct physician contact preferred. Knowledge of medical terminology and anatomy. Proficiency with computer use. Working knowledge of medical record confidentiality laws. Excellent organizational, oral, written, and interpersonal communication skills. Ability to handle stressful situations including public contact and trauma. Ability to wear personal protective equipment. Ability to move freely in facility and perform required job functions. Vision and hearing functional with or without assistive devices. Able to sit, stand, walk for long periods and periodically lift up to 10 lbs.
Location
Michigan, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 months ago