Outpatient Professional Coder

📁
Business (Non-Clinical)
📅
195605 Requisition #
GENERAL SUMMARY:
Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patients 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.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M) CPT code.
  • Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical record.
  • Verifies and/or requests documentation to support compliance.
  • Assigns diagnostic and procedural codes in accordance with coding principals and established guidelines, utilizing encoder software.
  • Reviews charges, assign charges and assigns appropriate facility E/M level, when applicable.
  • Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-9-CM diagnoses and ICD-9-CM/CPT procedures.
  • Verifies completeness of medical record within electronic medical record, reporting any discrepancies to supervisor
  • Interacts with medical staff for clarification of documentation.
  • May review daily system-generated error reports to correct or complete missing data elements
  • May review and correct coding errors, edits, rejections and/or disputes
  • If participating in the remote coding program, required to adhere to the Remote Coding Program Policy (Medical Record Services Policy 09).
  • 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 in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

 EDUCATION/EXPERIENCE REQUIRED: 
  • High School Diploma or G.E.D. equivalent required. 
  • Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. 
  • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. 
  • Six (6) months prior coding experience preferred, but not required. 

CERTIFICATIONS/LICENSURES REQUIRED: 
  • Certification as a Registered Health Information Technician (RHIT), RHIT Certification eligibility, or CPC, CPC-A, CCS, CCP or CCA certification required.

     Overview

       Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

       care systems, is a national leader in clinical care, research and education.  The system includes

       the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

       insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

       network and many other health-related entities throughout southeast Michigan, providing a

       full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

       The health system also is a major economic driver in Michigan and employs more than 24,600

       employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

       health system is led by President and CEO Wright Lassiter III.  To learn more, 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.  Henry

       Ford Health System has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  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.  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 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.

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