Outpatient Professional Coder - Full time - Detroit

Principal Duties And Responsibilities

• Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical record.
• May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M) CPT code.
• Verifies and/or requests documentation to support compliance.
• Sets and verifies diagnostic and procedural codes in accordance with coding principles and established guidelines, utilizing encoder software.
• Assigns 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.
• Reviews charges, assign charges and assigns appropriate facility E/M level, when applicable.
• Verifies completeness of medical record within electronic medical record, reporting any discrepancies to supervisor.
• Interacts with medical staff for clarification of documentation.
• 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

• A 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.