5 jobs found in Shelby

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

Coding Specialist Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures. Essential Functions and Responsibilities as Assigned: Responsible for outpatient coding and charge validation (charge entry) in multiple specialties and EMRs Responsible for coding inpatient encounters (inclusive of < 30 days of LOS and >30 days of LOS, Rehab, Long-term Acute Care) Reviews, identifies, and assigns ICD-10-CM, CPT-4 with charge validation or ICD-10-CM and ICD-10-PCS codes. Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary. Validates CPT -4 codes (charges) captured by McLaren...

Coding And Documentation Education Specialist Position Summary: Responsible for working with and providing on-going coding and documentation education (quarterly, annually and ad-hock) for physicians, coders, ancillary department staff, clinical documentation improvement (CDI), and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. Essential Functions and Responsibilities As Assigned : 1. Completes quality assurance audits on inpatient and outpatient coding specialists, onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines and directives. 2. Validates Present on Admission (POA) indicators according to guidelines and identifies any missing or inappropriate queries to providers. 3. Uses payment methodology to audit outpatient and/or...

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio. Position Summary: Responsible for working with and providing...

Karmanos Cancer Institute, part of McLaren Health Care, is seeking a Full-time Coding Auditor to improve documentation and ensure accurate coding practices. This role involves conducting audits and providing ongoing education for healthcare professionals within the organization. The ideal candidate will have certifications from AHIMA and AAPC, along with at least three years of experience in medical coding audits. The position is based in Michigan and offers a structured work schedule from 8 am to 4:30 pm. #J-18808-Ljbffr