McLaren Health Care Corporation

Position Summary: Responsible for working with 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: 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 the all coding guidelines and directives. Validates Present on Admission (POA) indicators according to guidelines and identifies any missing or inappropriate queries to providers. Uses payment methodology to audit outpatient facility coding and billing, APC assignment, and OPPS reimbursement methodology and shares knowledge with colleagues and clinical team members. Performs retrospective,...

Position Summary: Responsible for working with 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: 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 the all coding guidelines and directives. Validates Present on Admission (POA) indicators according to guidelines and identifies any missing or inappropriate queries to providers. Uses payment methodology to audit outpatient facility coding and billing, APC assignment, and OPPS reimbursement methodology and shares knowledge with colleagues and clinical team members. Performs...

Job Summary: Under indirect supervision, audit medical charges and record for compliance with federal coding regulations and guidelines ensuring that medical billing is correct and conforms to legal and procedural requirements; ensure the integrity of department billing. Responsibilities: Audit billing reports to ensure patient encounters are billed and identify encounters not reported; prepare reports of findings and meet with supervisor to review results, and determine receipt of information and when necessary recreate documentation for provider/physician signature. Check encounter forms for level of service, diagnoses, faculty signature and referring physician, if required; contact clinical departments/hospitals to ensure billing problems are resolved and encounters will be coded/billed correctly. Compete charge entry from provider outpatient encounter forms and inpatient encounters upon completion of coding by coding company. Assist in facilitating KCC FIN assignment...