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Coding Complex Specialist/Full Time/Remote

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GENERAL SUMMARY:

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 Complex 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 considered 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.

EDUCATION/EXPERIENCE REQUIRED:

High school diploma or G.E.D. equivalent required.
Minimum of two (2) years coding experience required.
Additional specialty coding certification or five (5) years coding experience required.
Prior experience in a healthcare revenue cycle position required.
Specialty coding experience preferred.
One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.
Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
Strong organizational and time management skills required to effectively prioritize work.
Ability to communicate effectively with colleagues, supervisor, and manager.
Ability to work independently. Ability to work remotely.
Proficient in medical terminology.
Proficient in ICD-10 CM, CPT and HCPCS coding.
Able to recognize patterns and trends and escalate to supervisors to support root- cause analysis.
Able to assist other team members. Supports the standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines.

CERTIFICATIONS/LICENSURES REQUIRED:

Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.