Coder I

McLaren Health Care; Shelby Township (MI); On-site; USD 60,000 - 75,000; Full time

Job summary

McLaren Health Care is seeking a healthcare coder responsible for assigning ICD-10-CM, CPT-4/HCPCS, and ICD-10-PCS codes for inpatient and outpatient records. This role includes identifying principal diagnoses, co-morbidities, complications, and surgical procedures.

Qualified candidates will have an associate’s degree in HIT or related field and relevant certifications within one year (RHIA/RHIT/CCS or CPC/CCC/COC/CIC/CHONC). Experience with APR-DRG and coding compliance is a plus.

Qualifications

• Associate’s degree HIT, Applied Science, Liberal Arts or other related healthcare field.
• Certification within one year: RHIA/RHIT/CCS or CPC/CCC/COC/CIC/CHONC or ROCC.

Responsibilities

• Code inpatient or outpatient records (ICD-10-CM, CPT-4/HCPCS, ICD-10-PCS).
• Determine principal diagnosis, co-morbidities, complications, and procedures.
• Ensure codes are correctly sequenced per guidelines and policies.
• Maintain knowledge of current coding guidelines through self-study or training.
• Participate in quality review meetings and interdisciplinary collaboration.

Skills

ICD-10-CM coding

CPT-4/HCPCS coding

Clinical documentation

Regulatory compliance

Education

Associate’s degree HIT / related healthcare field

RHIA/RHIT/CCS

CPC/CCC/COC/CIC/CHONC

ROCC (Radiation Oncology Certified Coder)

Job description

Position Summary:

Responsible for coding inpatient or outpatient records, reviews documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures.

Essential Functions and Responsibilities As Assigned

• Responsible for outpatient coding and charge validation (charge entry)
• Responsible for coding simple inpatient visits (with < 30 days of LOS)
• Properly identifies and assigns ICD-10-CM, CPT-4 or ICD-10- PCS codes.
• Determines the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures.
• Ensures codes are assigned correctly and sequenced appropriately in compliance with medical coding guidelines and policies.
• Maintains knowledge of current coding guidelines by self-study, assigned education, corporate coding meeting attendance, or related in-services.
• Participates in internal and external quality review meetings and responses.
• Works collaboratively with appropriate departments such as nursing or CDI (clinical documentation improvement), etc. to ensure accurate APR-DRG/SOI/ROM and their impact and other indicators as needed.

Qualifications:

Required

• Associate’s degree HIT, Applied Science, Liberal Arts or other related healthcare field.
• Certified or eligible to be certified in at least one of the following within one year:
• AHIMA Certification (such as: RHIA, RHIT, CCS)
• AAPC Certification (such as: CPC, CCC, COC, CIC, CHONC etc.)
• AMAC Certification such as: ROCC (Radiation Oncology Certified Coder)

Preferred

• One year of facility outpatient, professional or inpatient coding experience.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Full-time
• Requisition ID: 26004411
• Daily Work Times: 8am - 4:30pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No