• General Medical Coder

    Job Locations US-MI-Saginaw
    Posted Date 1 month ago(1 month ago)
    Job ID
    2018-1192
    # of Openings
    1
    Category
    Medical Billing/Coding
  • Overview

    The Coder works in direct support of all clinical programs, ensuring professional services are appropriately coded and support billing and compliance guidelines.

    Responsibilities

    1. Review patient documents for proper CPT-4-CM, ICD-10-CM code assignments, and quality reporting measures such as HEDIS.
    2. Review records to ensure all required information is present for billing, reimbursement, and regulatory compliance purposes.
    3. Must be able to communicate effectively with providers to ensure documentation supports reported codes and the required guidelines for compliance.
    4. Report documentation and compliance concerns to Lead Coder and Director, Revenue Cycle.
    5. Serves as a resource regarding insurance claim resolutions and coding questions.
    6. Must meet coding production expectations.
    7. Participate in data collection, abstraction, and other reporting.

    Qualifications

    1. Medical coding certification, such as CPC or RHIT.
    2. Extensive knowledge of CPT, HCPCS and ICD-10-CM code assignment.
    3. Working knowledge of Medical Terminology and Anatomy.
    4. Working knowledge of Electronic Health Record and Computer proficiency in Word, Excel, Outlook etc.

    PREFERRED QUALIFICATION:

    1. Experience coding for professional services.
    2. Medical billing and experience preferred.
    3. Experience in a Multi-specialty clinic setting.
    4. Experience in a resident teaching environment.
    5. Epic System EHR experience.

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