*Inpatient Complex Coder/Full Time/Remote
🔍 Troy, Michigan
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.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Identifies all diagnostic and operative procedures and other pertinent patient stay data for Henry Ford Health System databases by thoroughly reviewing entire patient medical records, including histories physicals, operative reports, pathology reports, therapy notes nursing notes and discharge summary, etc. Verifies and/or requests documentation to support compliance.
2. Assigns diagnostic and procedural codes in accordance with coding principles and established guidelines utilizing encoder software.
3. Identifies appropriate principal diagnosis and sequences all secondary diagnoses and procedures according to guidelines of the MS-DRG reimbursement system (applicable to all patients). Applies knowledge of optimization in MS-DRG assignment.
4. Verifies completeness of medical record within electronic medical record, reporting any discrepancies to supervisor.
5. Completes the discharge abstract by gathering pertinent patient stay data from record in addition to coded diagnostic and procedural data.
6. Performs other related duties as required.
7. If participating in the remote coding program, required to adhere to the Remote Coding Program Policy
8. 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 to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
EDUCATION/EXPERIENCE:
- Degree in Medical Record Sciences preferred but not required or successful completion of a certification program with certification as a Registered Health Information Technician (RHIT), Registered Health Administrator (RHIA), CCS Certified Coding Specialist or CCA Certified Coding Associate. If RHIT, RHIA certification eligibility certification must be obtained within six (6) months of employment and a signed statement attesting to this agreement must be obtained upon hire. Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
- Prior coding experience preferred but not required
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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.