Job details
-
Vacancy TypeRemote
-
Pay$25 an hour
-
Shift and ScheduleMonday to Friday
Description
Harvard Resource Solutions is seeking a Medical Coder for their healthcare client in Farmington Hills, MI on a contract basis.
Open to Michigan Residents only.
Monday-Friday 8am-5pm, Remote
Responsibilities of Medical Coder
- Knows, understands, incorporates, and demonstrates the organization's Mission, Vision, and Values in behaviors, practices, and decisions.
- Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
- Interprets data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review.
- Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
- Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
- Maintains a working knowledge of applicable Federal, State, and local laws/regulations; the organization's Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior.
Qualifications of Medical Coder
- High school diploma or associate degree in accounting or business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
- Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
- Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
- Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections. - Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
- Must be comfortable operating in a collaborative, shared leadership environment.
- Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of the organization.
If you are a high performer and would like to work for an equally high-performing company and you think the above opportunity is appropriate for you, we invite you to submit your resume in Microsoft Word format to [email protected]
We treat all resumes with strict confidentiality. We will always contact you first before submitting your resume to our client(s) for review. If you do not receive correspondence, you are not a fit for this position.
At Harvard Resource Solutions, our talent acquisition team is proud to provide our clients with the most qualified Administrative & Clerical talent in the industry today.
Table
-
AdressFarmington Hills, MI