What are the responsibilities and job description for the Coding Specialist position at Spectrum Health?
Job Summary
Under moderate direction, reviews and interprets medical record documentation, assigns diagnostic and / or procedural codes, and abstracts case information for reimbursement, research and planning purposes. Ensures that all codes assigned are supported by sufficient documentation and are based on official coding and reporting guidelines. Interacts with medical staff, clinical documentation improvement specialists, and other hospital departments to improve the quality of documentation, and ensures documentation accurately reflects the severity of illness and intensity of service for each patient.
Essential Functions
Reviews medical record documentation to identify pertinent diagnosis / procedures that require code assignment for inpatient / outpatient records and accurately code the diagnoses and procedures using ICD-10 and / or CPT coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
Reviews the medical record to assure specificity of diagnoses, procedures, and appropriate reimbursement for hospital and professional charges.
Queries physicians, with the support of the Clinical Documentation Improvements Specialists, when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to manager for resolution.
Effectively assigns ICD-10-CM, ICD-10-PCS, CPT codes, DRG and / or APC to record accounts.
Responsible in maintaining 95% in ICD-10-CM, ICD-10PCS, CPT and DRG assignment and consistently meet established productivity standards while keeping abstracting errors to a minimum.
Abides by the Standards of Ethical Coding as set for the by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
Adheres to all Corewell Health System policies, procedures, and standards within budgetary specifications including time management, remote teleworking, and productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory / continuing education to maintain certification and skills competency; supports department-based goals which contribute to the success of the organization and the Health Information Management department; may serve as a preceptor (student’s internships).
Qualifications
Required
Associate's Degree or bachelor’s degree in health information management.
CRT-Registered Health Information Technician (RHIT) - AAPC American Academy of Professional Coders required Or
CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association.
Preferred
ICD-10-CM / ICD-10-PCS, CPT coding experience.
About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
Comprehensive benefits package to meet your financial, health, and work / life balance goals. Learn more .
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Beaumont Service Center - 26901 Beaumont Blvd
Department Name
Coding-Inpatient
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
Hours of Work
Variable
Days Worked
Monday to Friday
Weekend Frequency
N / A
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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
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