Coding Specialist / Full Time / Michigan Residents

Overview

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 Certified 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 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.

Responsibilities

• Review, analyze, and validate diagnostic and / or procedural codes for reimbursement and billing.
• Accurately abstract information from the electronic health record for patient databases supporting research, evaluation, and administrative decision making.
• Ensure compliance with coding guidelines, third party reimbursement policies, and regulatory / accreditation standards.
• Contribute to provider / patient continuity and accurate database information to optimize reimbursement.
• Support coding accuracy and escalate issues as needed to supervisors for root-cause analysis.
• Assist other team members and work to standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines.

Qualifications

Additional Information

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