Coder Senior

Assigns correct procedure and diagnosis codes. Validates and adjusts charges. Responsible for abstracting data from medical records and working collaboratively with financial and clinical team members to ensure accurate financial billing. Provides education and training regarding coding guidelines to appropriate team members of their specialty area.

• Consistently Meets Quarterly Productivity Standard: 100%

• Consistently Meets Quarterly Quality Standard: 95%

• Consistently Completes Quarterly Mandatory Coding Educations: 15 CEU - (Formal/Informal)

• Codes/charge outpatient records (Ambulatory Surgery, Observation, Emergency and Ancillary) according to coding guidelines and conventions. Assigns diagnoses and procedures for billing, data retrieval and research purposes, using numerical codes of ICD-9-CM/ICD-10-CM/PCS and CPT-4 coding.

• Provides education and training regarding coding guidelines of specialty area to clinical and non-clinical staff.

• Communicates, collaborates and acts as a team player with others in order to ensure continuity of services.

• Optimize codes for reporting and generates APCs for all outpatient records. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.

• Participate in process improvement activities including but not limited to assuring accounts that cannot be coded are held for valid reasons and documented accurately utilizing Unbilled Reason Codes (URCs)/GQ Flags

• Must attend all staff meetings required by management

Required

• Associate's Degree or equivalent
• 2 years of relevant experience coding
• Coding Specialist (CCS) - AHIMA American Health Information Management Association

Preferred

• Registered Health Information Technician (RHIT) - AAPC American Academy of Professional Coders Or
• Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association
• Bachelor's Degree

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.