Coding Complex Specialist/Full Time/Remote

Henry Ford Health; Detroit (MI); Remote; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization in Detroit is seeking a CBO Coding Complex Specialist to review and validate diagnostic codes for reimbursement purposes. The role involves abstracting data from electronic health records, ensuring compliance with coding guidelines, and maintaining accurate patient databases. Candidates should possess a high school diploma, coding certifications, and at least two years of coding experience. Strong organizational and communication skills are essential, and the position allows for independent and remote work.

Qualifications

• Knowledge of anatomy, physiology, and disease processes.
• Ability to recognize coding patterns and trends.
• Experience in healthcare revenue cycle positions.

Responsibilities

• Review and validate diagnostic and procedural codes.
• Abstract information from electronic health records.
• Ensure compliance with coding guidelines.

Skills

Strong organizational skills

Time management skills

Effective communication

Ability to work independently

Proficient in ICD-10 CM coding

Proficient in CPT coding

Proficient in HCPCS coding

Knowledge of medical terminology

Education

High school diploma or G.E.D.

Coding certification (RHIT, CPC, CCS)

Two years coding experience

Five years coding experience (optional)

College coursework in healthcare or related

Job description

General Summary

Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex Specialist accurately abstracts information from the electronic health 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, and regulation and accreditation guidelines.

Education and Experience Required

• High school diploma or G.E.D. equivalent required.
• Minimum of two (2) years coding experience required.
• Additional specialty coding certification or five (5) years coding experience required.
• Prior experience in a healthcare revenue cycle position required.
• Specialty coding experience preferred.
• One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.

Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.

• Strong organizational and time management skills required to effectively prioritize work.
• Ability to communicate effectively with colleagues, supervisor, and manager.
• Ability to work independently.
• Ability to work remotely.
• Proficient in medical terminology.
• Proficient in ICD-10 CM, CPT and HCPCS coding.
• Able to recognize patterns and trends and escalated to supervisors to support root- cause analysis.
• Able to assist other team members.
• Supports the standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines.

Certifications and Licensure Required

• Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.

Additional Information

• Organization: Corporate Services
• Department: CBO Coding PB
• Shift: Day Job
• Union Code: Not Applicable