Medical coding specialist

USMM Detroit, Michigan
medical medical coding providers continuum health medical management healthcare hospice patients cms ama medical management
October 24, 2022
USMM
Detroit, Michigan
FULL_TIME

U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together.


Our Mission Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).


Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on We are Unified in our Work through our Continuum of Services We can Find Comfort that We are Making a Difference for our Patients & We make a Broader Positive Impact on Society , allows USMM to be poised for a phenomenal future.


We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.


Benefits We Offer :



  • Health, Dental, Vision, Disability & Life Insurance

  • 401K Retirement Plan

  • Paid Holidays

  • Flexible Spending Account



POSITION DESCRIPTION


The Medical Coding Specialist is to ensure that all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payers and other regulatory agencies.


ESSENTIAL DUTIES AND RESPONSIBILITIES



  • Monitor assigned provider’s documentation and coding

  • Educate assigned providers on CMS, AMA and VPA documentation and coding guidelines

  • Keep abreast of local and national coverage determinations

  • Educate assigned ongoing education of ICD-10-CM to the providers

  • Perform provider queries and addendum requests based on CMA, AMA and VPA documentation and coding guidelines

  • Other duties as assigned


REQUIRED KNOWLEDGE, SKILLS AND EXPERIENCE



  • High School diploma

  • Registered Health Information Technicians (RHIT) or Certified Professional Coder (CPC) Certification

  • Minimum of 1 year of experience assigning ICD-10 CM, CPT and HCPC’s

  • Minimum of 1 year of experience with NCCI edits

  • Experience with Microsoft Office (Word, PowerPoint, Excel)

  • Experience with Outlook

  • Ability to effectively communicate and work with providers and staff

  • Outstanding written and verbal communication skills

  • Ability to work independently with minimal supervision

  • Self-audit of work and awareness of coding impact on revenue cycle

  • Ability to meet / or exceed performance metrics of 95% accuracy and 95 charts per 8 hour work day after 90 days of employment


PREFERRED KNOWLEDGE, SKILLS AND EXPERIENCE



  • Certified Risk Adjustment Coder Certification

  • Minimum of 1 year of experience with evaluation and management coding

  • Minimum of 1 year of experience with Risk Adjustment coding

  • Minimum of 1 year of experience with Radiology Coding

  • Minimum of 1 year of experience with Lab Coding

  • Minimum of 1 year of experience with Aprima, RCx and / or Centricity

  • Last updated : 2022-03-29


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