UMH Sparrow Health System-PHYSICIAN CODING SPECIALIST

Sparrow•Lansing, MI

1d•Onsite

About The Position

The Coding Specialist provides procedure and diagnostic coding based on documentation in patient medical records and codes daily activities to facilitate the revenue cycle process. The role includes coding provider services according to established guidelines, correlating diagnoses, procedures, and modifiers with the medical billing system, and helping maintain effective coding and charge-processing systems. The specialist keeps current with coding changes through continued education, helps develop and maintain coding policies and procedures, and works with team members, providers, insurance carriers, and others to resolve coding issues and support appropriate documentation and reimbursement. The role also supports accounts-receivable goals, uses coding software and other research tools, may provide training as directed, and performs other assigned projects.

Requirements

Hold one of the following credentials: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS/CCS-P).
Maintain current membership in AHIMA or AAPC in good standing, including paid dues and required continuing education.
High school diploma or equivalent.
Demonstrate working knowledge of CPT and ICD-10-CM.
Have knowledge of computer billing systems, programs, and applications.
Have detailed knowledge of medical records, anatomy, physiology, and disease processes.

Nice To Haves

Experience working in a multi-physician practice.
One year of diagnostic and procedure coding experience.
One year of physician electronic billing experience involving all insurance carriers.
EPIC experience.

Responsibilities

Perform diagnostic and procedure coding of provider services according to established guidelines.
Correlate diagnoses, procedures, and modifiers with the medical billing system based on provider documentation.
Assist with maintaining an effective system for coding and charge processing.
Continue medical coding and billing education to remain current with coding changes.
Assist with developing and maintaining policies and procedures for coding processes.
Work with team members, providers, insurance carriers, and others to resolve coding issues related to documentation and reimbursement.
Work with team members to achieve accounts-receivable goals.
Use coding software and applicable research tools.
Provide training as directed.
Complete other projects as assigned.