Job detail

Coder II

MyMichigan Health

#Healthcare #Microsoft Windows #CPT #RHIT #Inpatient #Outpatient #Coding #Anatomy #RHIA #CPC

Quick overview

The coding specialist analyzes medical records to assign accurate diagnosis and procedure codes for appropriate DRG reimbursement. They also collaborate with clinical documentation specialists and providers to improve documentation quality.

Requirements summary

Candidates must hold an associate degree and possess relevant coding experience from an AHIMA-approved program. Certification as an RHIA or RHIT is required, or must be obtained within six months of hire.

associate degreeprofessional certificateOrganizational skillsCommunication skillsInterpersonal skillsAnatomyMicrosoft WindowsMedical terminologyClinical documentationICD-CMMedical codingCPT codingDRG assignment

Job description

Summary

$5,000 Sign on Bonus eligible for qualified candidates **Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered.*
The coding specialist, utilizing the clinical documentation management program and clinical knowledge, analyzes inpatient and outpatient medical records for completeness of documentation, contacting the appropriate provider for additional documentation if needed. Accurate diagnosis and procedure codes are then assigned based on the documentation in the medical record, which directly impacts the appropriate DRG assignment for reimbursement. Critical data elements are abstracted by the Coding specialist on all inpatient discharges. This information is used by the organization for decision making.

Responsibilities

(60%)
Assigns accurate ICD-CM diagnosis and procedure codes and CPT codes in a timely manner for all appropriate encounters and ensures appropriate DRG assignment based on the clinical documentation within the medical record by using CMS and American Hospital Guidelines and following AHIMA code of ethics. (30%)
Utilizes clinical knowledge to interact with the Clinical Documentation Specialists and physicians/providers on a daily basis to assist in improving documentation within the medical record; to accurately reflect the severity of illness and level of care provided. (10%)
Demonstrates willingness to participate in continuing education to enhance coding knowledge. OTHER DUTIES AND RESPONSIBILITIES: Meets established productivity guidelines. Other duties as assigned. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Certifications and Licensures

E/M CODER: Cpc, ccs, ccsp, rhit, or rhia

Effective October 1, 2013, new hires must be RHIA or RHIT eligible and successfully complete the certification exam within six (6) months of hire and maintain the certification to meet the requirements of the position. FINGERPRIN: Fingerprinting

Required Education: Associates degree is required

Other Information

Experience, training and skills

Coding experience from an AHIMA approved internship required or successfully completed an independent study program offered by AHIMA. Knowledge of medical terminology and anatomy. Written, oral, organizational and interpersonal skills needed to communicate successfully.