Coding Specialist: ICD-10-CM & CPT Expert

McLaren Medical Group; Grand Blanc (MI); In loco; USD 55.000 - 75.000; Tempo pieno

Descrizione del lavoro

McLaren Medical Group is seeking a Coding Specialist to review inpatient or outpatient records and assign ICD-10-CM, CPT-4/HCPCS and ICD-10-PCS codes for diagnoses and procedures. You will determine principal diagnoses, comorbidities, and surgeries while ensuring clean claims.

Responsibilities include outpatient coding, charge validation, applying E/M modifiers, and researching NCD/LCD guidelines to maintain high accuracy and production standards.

Competenze

• Associate's degree in HIT, Applied Science, Liberal Arts or related field.
• 2 years of facility inpatient, outpatient or professional coding experience.
• Certified in AHIMA RHIA/RHIT/CCS or AAPC CPC/CCC/COC/CIC/CHONC or AMAC ROCC.

Mansioni

• Outpatient coding and charge validation in multiple specialties.
• Code assignment including ICD-10-CM, CPT-4 with charge validation and ICD-10-PCS.
• Apply E/M level modifiers and document observation hours, injections, and other procedures.
• Validate charges captured by departments for specific encounters.
• Research NCD and LCD guidelines to ensure clean claims.
• Determine principal diagnosis, co-morbidities, complications, and surgical procedures.
• Aim for 95% accuracy while meeting production standards.

Conoscenze

ICD-10-CM coding

CPT-4/HCPCS coding

Charge validation

NCD/LCD knowledge

Quality assurance

Formazione

Associate's degree in HIT / Applied Science / Liberal Arts

AHIMA RHIA/RHIT/CCS OR AAPC CPC/CCC/COC/CIC/CHONC OR AMAC ROCC certification

Other healthcare related degree

Descrizione del lavoro

McLaren Medical Group is seeking a Coding Specialist to review inpatient or outpatient records and assign ICD-10-CM, CPT-4/HCPCS and ICD-10-PCS codes for diagnoses and procedures. You will determine principal diagnoses, comorbidities, and surgeries while ensuring clean claims.

Responsibilities include outpatient coding, charge validation, applying E/M modifiers, and researching NCD/LCD guidelines to maintain high accuracy and production standards.