Job Summary
Responsibility for coordination of employees and processes in assigned areas of HIM Clinical Coding, and Coding Audit; Inpatient, Outpatient , Emergency and Professional Coding Performs quality and compliance audits. Reviews medical record documentation to determine coding accuracy.
Essential Functions
Oversees variety of duties which can include: serves as an expert coding resource for HIM Management, service line coders, office staff and physicians. (Facility and Professional coding), review of denials and rejections including HIM work queues, complex coding issues, and quality initiatives.Maintains expert coding knowledge (ICD-10-CM/PCS, CPT/HCPCS) and understanding of government regulations, third party payor requirements and various reimbursement methodologies (MS-DRG, APR-DRG, APC, Rehab CMG, RVU).Coordination of staffs day to day operations, assists in trouble shooting issues, problem solving and resolution of customer service and/or billing issues. Identify problematic coding trends based on audit acitivity to provide ongoing training and education.Monitors goals & objectives for assigned area to assist in achieving turnaround times, staff productivity and quality.Assists in interviews, training, counseling, audits, and evaluating performace of staff.May compile statistics, weekly & monthly reports and employees schedules.Coordinates responses to payor audits for reconsideration process (appeal preparation).Review and complete uncoded accounts in follow up and uncoded workquesAnd other assigned dutiesHow Corewell Health cares for you
Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.On-demand pay program powered by PayactivDiscounts 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 insuranceTraditional and Roth retirement options with service contribution and match savingsRelocation assistance (OPTIONAL)Qualifications
Required
Associate degree in health information management or equivalent relevant work experience required.
Required Certifications, 1 of 3
CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association
CRT-Registered Health Information Technician (RHIT) - AAPC American Academy of Professional Coders
CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association
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 youComprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
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 BlvdDepartment Name
Coding-InpatientEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
VariableDays Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
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.
You may request assistance in completing the application process by calling 616.486.7447.