Outpatient Professional Coder

• Full time
• Detroit Henry Ford Health
• 3.

8 Detroit, MI Job Details Full-time 8 hours ago Benefits Health insurance Dental insurance Tuition reimbursement Qualifications Anatomy knowledge Customer service High school diploma or GED Medical terminology Full Job Description

GENERAL SUMMARY

Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

PRINCIPAL DUTIES AND RESPONSIBILITIES

Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient's medical record. May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M) CPT code. Verifies and/or requests documentation to support compliance. Assigns diagnostic and procedural codes in accordance with coding principals and established guidelines, utilizing encoder software. Reviews charges, assign charges and assigns appropriate facility E/M level, when applicable. Utilizes technical coding principals and APC reimbursement expertise to assign appropriate

ICD-9-CM

diagnoses and

ICD-9-CM/CPT

procedures. Verifies completeness of medical record within electronic medical record, reporting any discrepancies to supervisor. Interacts with medical staff for clarification of documentation. May review daily system-generated error reports to correct or complete missing data elements. May review and correct coding errors, edits, rejections and/or disputes. If participating in the remote coding program, required to adhere to the Remote Coding Program Policy (Medical Record Services Policy 09).

• Maintains a working knowledge of applicable Federal, State and local laws and regulations, the Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that
• reflects honest, ethical and professional behavior Performs other related duties as required

EDUCATION/EXPERIENCE REQUIRED

High School Diploma or G.E.D. equivalent required. Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. Six (6) months prior coding experience preferred, but not required.

CERTIFICATIONS/LICENSURES REQUIRED

Certification as a Registered Health Information Technician (RHIT), RHIT Certification eligibility, or CPC, CPC-A, CCS, CCP or CCA certification required. Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS' Customer Service Policy Must practice the customer skills as provided through on-going training and in-services.

PHYSICAL DEMANDS/WORKING CONDITIONS

: Normal office environment with minimal exposure to noise, dust, or extreme temperatures.

Additional Information Organization:

Henry Ford Medical Group Department:

Ophthalmology Shift:

Day Job Union Code:

Not Applicable Additional Details This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services

• from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail.

With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the

Future of Health:

Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers. Benefits The health and overall well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits. Equal Employment Opportunity/Affirmative Action Employer Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.