Coder III

Coder III 🔍 Michigan, Shelby Township New 📁 Technical 💼 McLaren Health Care Corp 📅    26001953 Requisition # Apply for Job Share this Job Sign Up for

Job Alerts Position Summary:

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. Essential Functions and Responsibilities as

Assigned:

1. Responsible for outpatient coding and charge validation (charge entry) in multiple specialties and EMRs 2. Responsible for coding inpatient encounters (inclusive of 30 days of LOS, Rehab, Long-term Acute Care) 3. Reviews, identifies, and assigns

ICD-10-CM, CPT-4

with charge validation or ICD-10-CM and

ICD-10-PCS

codes. 4. Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary. 5. Validates CPT -4 codes (charges) captured by McLaren departments such as hard-coded charges for services provided on specific encounters. 6. 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. 7. Determines the correct principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures. 8. Meets and/or exceeds the established quality standard of 95% accuracy rate while meeting and/or exceeding production standards.

Qualifications:

Required:

• Associate's degree HIT, Applied Science, Liberal Arts or other related healthcare field.
• 3 years of facility outpatient, professional or inpatient 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.)

• AMAC Certification such as: ROCC (

Radiation Oncology Certified Coder Preferred:

• 5 years of outpatient, professional or inpatient coding experience.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans Additional Information Schedule:

Full-time Requisition ID:

26001953

Daily Work Times:

Standard Business Hours Hours Per Pay Period:

80

On Call:

No Weekends:

No