Health Risk Coding & Education Specialist II (Hybrid/Troy, MI) - Health Alliance Plan
EDUCATION/EXPERIENCE REQUIRED:
- Associate’s degree required in Health Information Management (HIM), Health Information Technology (HIT), healthcare, health service, or public health related field required.
- Bachelor’s degree or equivalent work experience in healthcare, health service or public health related field preferred.
- Two (2) years of coding experience in diagnostic and procedural coding required.
- Prior experience working with physicians/medical groups/physician offices preferred.
- Two (2) years of ICD-9-CM &ICD-10-CM coding experience/proficiency required.
- Prior healthcare related experience working with physicians/medical groups/physician offices preferred.
- Knowledge of medical billing and third party payer regulations preferred.
- Ability to get results with physicians and physician’s office staff to obtain medical records.
- Excellent communication skills and ability to work well with multiple HAP departments to get desired results.
- Knowledge of the release of health information processes and regulations.
- Knowledge of Health Insurance Portability and Accountability Act (HIPAA).
- Strong knowledge in ICD-10-CM coding and guidelines.
- Excellent quantitative, analytical, and problem solving skills.
- Excellent written and oral communication skills.
- Strong ability to work independently.
- Ability to work with automated systems.
- Ability to work across multi-disciplinary teams.
- Ability to organize and manage multiple priorities.
- Strong work ethic, reliable, resourceful, with enthusiastic attitude.
- Strong knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
- Knowledge in the use of Microsoft Office products.
- Knowledge of computer software programs used for data collection.
- Knowledge of Medicare Advantage risk adjustment payment methodology preferred.
- Knowledge of CMS programs, processes, and payment principles preferred.
- Knowledge of Adobe Pro preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
- Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) required.
- Certified Coding Specialist (CCS), Certified Coding Specialist –Physician (CCS-P) preferred.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System 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.