Under established coding principles and procedures, reviews, analyzes, and validates diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. Accurately abstracts information from the electronic health record for compilation of a patient database that supports medical research projects, patient care evaluation, and administrative decision-making related to patient care. The coding function serves as a primary source for data and information used in health care, supporting provider/patient continuity, accurate database information, reimbursement optimization, and compliance with established coding guidelines, third-party reimbursement policies, and regulatory and accreditation standards.
- High school diploma or GED required
- Minimum of 2 years of coding experience required
- Additional specialty coding certification or 5 years of coding experience required
- Prior experience in a healthcare revenue cycle position required
- Specialty coding experience preferred
- 1-2 years of college coursework or additional coursework in Accounting, Business, Healthcare Administration, or Medical Record Sciences preferred
- Strong knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems
- Proficiency in ICD-10-CM, CPT, and HCPCS coding
- Ability to communicate effectively with colleagues, supervisors, and managers
- Strong organizational and time management skills
- Ability to work independently and remotely
- Ability to recognize patterns and trends and escalate issues for root-cause analysis
- Ability to assist other team members
- Certification as RHIT, CPC, or CCS required
Location
Detroit, Michigan, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 months ago