High school diploma is required., At least one year of outpatient coding experience., Current AHiMA registration or certification., Preferred: Certified Professional Coder (CPC)..
Key responsibilities:
Review outpatient medical records for proper coding assignment.
Assign CPT-4 and HCPCS codes based on documentation.
Verify, modify, and abstract patient data to ensure data integrity.
Collaborate with providers to identify appropriate codes and educate on documentation.
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McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $6 billion (budget FY21), fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 15 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a 490-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering approximately 640,000 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S.
As part of its Graduate Medical Education (GME) program, McLaren maintains academic affiliations with medical schools at Wayne State University, Michigan State University and Central Medical University. McLaren’s six (6) GME campuses offer 27 residencies and eight (8) fellowship programs that train over 650 future physicians annually. All GME programs at McLaren are overseen and managed centrally by the Department of Academic Affairs.
Responsible for reviewing outpatient medical records for proper coding assignment.
Position Specifications:
Background in laboratory billing with a focus on Pathology
Hybrid/Remote Position
Essential Functions and Responsibilities as Assigned:
Accurately assigns codes (CPT-4 and HCPCS) to outpatient medical records based on documentation in the medical record.
Accurately verifies, modifies, and abstracts patient data to meet the requirements of data integrity and organization specific protocols and requirements.
Understands the coding and classification system(s) revision cycle (ICD-10-CM and MSDRG annually) and takes the initiative to understand coding and classification system changes that impact coding, compliance, and reimbursement requirements.
Utilizes the multiple electronic and hard copy resources available to assist in understanding and accurately assigning coding and classification codes.
Works closely with the providers to identify the appropriate ICD-10, CPT and HCPCS codes in selecting the patients’ care plans, associated orders for treatment and any co-morbid conditions. Provides education on the appropriate documentation to support all codes captured by the providers in the electronic health record.
Other related duties as assigned.
Required:
High school diploma
One year outpatient coding experience
Current AHiMA registration or certification
Preferred:
Certified Professional Coder (CPC)
Position/Subsidiary Specific:
Background in laboratory billing with a focus on Pathology
Additional Information
Schedule: Full-time
Requisition ID: 24008270
Daily Work Times: 8:00am-4:30pm
Hours Per Pay Period: 80
On Call: No
Weekends: No
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.