Coder II

McLaren Health Care • Shelby Township, MI

4d

About The Position

Responsible for coding inpatient or outpatient records review 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 in HIT, Applied Science, Liberal Arts or other healthcare related field.
• 2 years of Facility Inpatient, Outpatient or Professional Coding experience.
• Certified in one of the following: AHIMA Certification (such as: RHIA, RHIT, CCS), AAPC Certification (such as: CPC, CCC, COC, CIC, CHONC etc.), or AMAC Certification such as: ROCC (Radiation Oncology Certified Coder).

Nice To Haves

• 3 years of Facility Inpatient, Outpatient or Professional Coding experience.

Responsibilities

• Responsible for outpatient coding and charge validation (charge entry) in multiple specialties
• Responsible for coding (inclusive of < 30 days of LOS and >30 days of LOS)
• Reviews, identifies and assigns ICD-10-CM, CPT-4 with charge validation and ICD -10-CM/ICD -10-PCS codes
• Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary.
• Validates CPT -4 codes (charges) captured by McLaren departments such as hard-coded charges for services provided on specific encounters.
• Performs research and investigation regarding National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim.
• Determines the correct principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.
• Meets and/or exceeds the established quality standard of 95%25 accuracy rate while meeting and/or exceeding production standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree