Job description
About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan, Indiana and Ohio. The McLaren system includes 14 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Position Symmary:
Remote position responsible for coding simple hospital outpatient records (Outpatient Coder I), review documentation and properly identifies and assigns ICD-10-CM, CPT/HCPCS and/or PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures.
This includes utilizing technical coding principals and APR and/or MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and PCS procedures, as well as abstracting these code assignments according to facility guidelines. Works collaboratively with CDI, understand Potentially Preventable Complications (PPC’s)/ Hospital Acquired Conditions (HAC’s), Prevention Quality Indicators (PQI’s) to ensure accurate APR-DRG/SOI/ROM and their impact and other indicators as needed. This includes utilizing technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT procedures, as well as abstracting these code assignments according to facility guidelines
- Coding experience of:
- Outpatient Coder I will be responsible for coding and charge validation (charge entry):
- Facility Outpatient Simple E/M visits, Laboratory, Radiology, or
- ER visits, or
- OBGYN/Women Health, Pain Management, Wound Care and/or Infusion Clinics or
- Professional General Medicine, Internal Medicine, OBGYN/Women Health, Pain Management, Wound Care and/or Infusion Clinics or
- Inpatient Coder I will be responsible for coding:
- Simple Inpatient visits (with < 30 days of LOS)
- Properly identifies and assigns ICD-10-CM, CPTs and/or PCS codes.
- Knowledgeable with ICD-10-CM and/or PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures.
- Knowledgeable to ensure assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided
- Knowledgeable to validate CPT codes (charges) captured by McLaren departments such as hard-coded charges for services provided on specific encounters.
- Knowledgeable with MS-DRG, APR-DRG
Required:
Associates degree in HIT or healthcare related field.
One year of Facility Outpatient, Inpatient or Professional Coding experience.
RHIT (Registered Health Information Technician (AHIMA) or CCS (Certified Coding Specialist (AHIMA) Certifications required
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
- Schedule: Full-time
- Requisition ID: 23000861
- Daily Work Times: 8am-5pm
- Hours Per Pay Period: 80
- On Call: No
- Weekends: No
Per Centers for Medicare & Medicaid Services (CMS) regulations, all McLaren employees must be vaccinated for COVID-19 by January 4, 2022. The regulation permits exemptions for employees with qualified medical disabilities or religious beliefs.
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
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