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Job Information
Henry Ford Health System Outpatient Complex Coder - Full Time - Detroit in Detroit, 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:
- Identifies all diagnostic and operative procedures for coding by thoroughly reviewing
the patient’s medical record, including histories, physicals, operative reports,
diagnostic testing reports, pathology reports, therapy notes and discharge summary,
etc.
- May analyze provider documentation to assign or verify the appropriate Evaluation &
Management (E&M) CPT code.
Verifies and/or requests documentation to support compliance.
Assign diagnostic and procedural codes in accordance with coding principles and
established guidelines.
May review and correct coding errors, edits, rejections and/or disputes.
Charge entry when appropriate.
Performs a comprehensive review of the documentation to ensure the presence of
all necessary elements, such as: patient identification, provider signatures and
dates.
- Verifies completeness of medical record within electronic medical record, reporting
any discrepancies to supervisor.
Interacts with medical staff via physician queries for clarification of documentation.
Performs other related duties as required.
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.
Additional specialty coding certification required or Bachelor’s Degree required.
One to two (1-2) years 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.
Minimum of two (2) years coding experience required.
Specialty coding experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
Certification as a Registered Health Information Technician (RHIT), CPC, or CCS
certification required.
Must meet or exceed core customer service responsibilities, standards and behaviors as
outlined in the HFHS’ Customer Service Policy and summarized below:
Communication
Ownership
Understanding
Motivation
Sensitivity
Excellence
Teamwork
Respect
Must practice the customer skills as provided through on-going training and in-services.
Must possess the following personal qualities:
Be self-directed
Be flexible and committed to the team concept
Demonstrate teamwork, initiative and willingness to learn
Be open to new learning experiences
Accepts and respects diversity without judgment
Demonstrates customer service values
PHYSICAL DEMANDS/WORKING CONDITIONS:
Normal office environment with minimal exposure to noise, dust, or extreme
temperatures.
Additional Information
Organization: Corporate Services
Department: System Referring Physicians
Shift: Day Job
Union Code: Not Applicable
Additional DetailsThis 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
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more athenryford.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 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 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.