ICD-10-CM/CPT Coding Specialist II

McLaren USA; Grand Blanc (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

McLaren USA in Michigan is seeking a skilled healthcare coder to review inpatient and outpatient records and assign ICD-10-CM, CPT-4/HCPCS and ICD-10-PCS codes for diagnoses and procedures. You will determine principal diagnoses, co-morbidities and surgical procedures, ensuring accurate charge capture.

Responsibilities include outpatient coding and charge validation across multiple specialties, applying modifiers, researching NCD/LCD guidelines, and maintaining a 95% accuracy rate while meeting

Qualifications

• Associate's degree in HIT or related field.
• 2 years of Facility Inpatient, Outpatient or Professional Coding experience.
• Certified in one of the following: AHIMA RHIA/RHIT/CCS; AAPC CPC/CCC/COC/CIC/CHONC; AMAC ROCC.

Responsibilities

• Outpatient coding and charge validation (charge entry) in multiple specialties.
• Code review for inpatient and outpatient records (≤30 days and >30 days LOS).
• Assign ICD-10-CM, CPT-4 with charge validation and ICD-10-PCS codes.
• Apply appropriate modifiers and charge entries for E/M, procedures, injections, infusions.
• Validate CPT-4 codes (charges) captured by departments for specific encounters.
• Research NCD/LCD guidelines related to modifiers to ensure clean claims.
• Determine principal diagnosis, co-morbidities and secondary conditions.
• Maintain >=95% accuracy while meeting production standards.

Skills

Medical coding

ICD-10-CM coding

CPT-4 coding

Charge entry

NCD/LCD knowledge

Attention to detail

Quality standards

Education

Associate's degree in HIT / related field

RHIA / RHIT / CCS

CPC / CCC / COC / CIC / CHONC

AMAC ROCC (Radiation Oncology Certified Coder)

Job description

McLaren USA in Michigan is seeking a skilled healthcare coder to review inpatient and outpatient records and assign ICD-10-CM, CPT-4/HCPCS and ICD-10-PCS codes for diagnoses and procedures. You will determine principal diagnoses, co-morbidities and surgical procedures, ensuring accurate charge capture.

Responsibilities include outpatient coding and charge validation across multiple specialties, applying modifiers, researching NCD/LCD guidelines, and maintaining a 95% accuracy rate while meeting