Responsible for coding inpatient or outpatient record reviews and accurately assigning ICD-10-CM, CPT-4/HCPCS, and/or ICD-10-PCS codes for reportable diagnoses and procedures. The role determines principal diagnosis, comorbidities, complications, secondary conditions, and surgical procedures.
Key responsibilities include:
- Outpatient coding and charge validation across multiple specialties and EMRs
- Inpatient coding for encounters including short-stay, long-stay, rehab, and long-term acute care
- Reviewing and assigning ICD-10-CM, CPT-4, and ICD-10-PCS codes
- Applying soft codes for evaluation and management levels, observation hours, injections, infusions, and other procedures
- Validating CPT-4 charges captured by departments for services provided on specific encounters
- Researching National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) guidelines related to modifiers to support clean claim submission
- Meeting or exceeding a 95% accuracy standard while maintaining production expectations
Requirements & Qualifications
- Associate’s degree in HIT, Applied Science, Liberal Arts, or another related healthcare field
- 3 years of facility outpatient, professional, or inpatient coding experience
- Certification in one of the following:
- AHIMA certification such as RHIA, RHIT, or CCS
- AAPC certification such as CPC, CCC, COC, CIC, or CHONC
- AMAC certification such as ROCC (Radiation Oncology Certified Coder)
- Preferred: 5 years of outpatient, professional, or inpatient coding experience
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
2 weeks ago
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