Coder I

McLaren Health CareShelby Township, MI

About The Position

Responsible for coding inpatient or outpatient records, reviews 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.

Requirements

  • Associate’s degree HIT, Applied Science, Liberal Arts or other related healthcare field.
  • Certified or eligible to be certified in at least one of the following within one year: 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)

Nice To Haves

  • One year of facility outpatient, professional or inpatient coding experience.

Responsibilities

  • Responsible for outpatient coding and charge validation (charge entry)
  • Responsible for coding simple inpatient visits (with < 30 days of LOS)
  • Properly identifies and assigns ICD-10-CM, CPT-4 or ICD-10- PCS codes.
  • Determines the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures.
  • Ensures codes are assigned correctly and sequenced appropriately in compliance with medical coding guidelines and policies.
  • Maintains knowledge of current coding guidelines by self-study, assigned education, corporate coding meeting attendance, or related in-services.
  • Participates in internal and external quality review meetings and responses.
  • Works collaboratively with appropriate departments such as nursing or CDI (clinical documentation improvement), etc. to ensure accurate APR-DRG/SOI/ROM and their impact and other indicators as needed.
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