CMU Health
Saginaw, MI, USA
Job Description Job Description Overview: The coder works in direct support of all clinical programs, ensuring professional physician services are properly coded prior to billing. Responsibilities: Review patient documents for proper CPT, CPT Category II codes, ICD-10-CM code assignments, and quality reporting measures such as HEDIS. Review records to ensure all required information is present for billing, reimbursement, and regulatory compliance purposes. Communicate effectively with providers to ensure documentation supports reported codes. Report documentation and compliance concerns to Lead Coder and Business Services Manager. Serves as a resource regarding resolution of insurance denials and coding questions presented by A/R management personnel, residents, and providers. Meet coding production expectations. Participate in data collection, abstraction, and other reporting. Required Qualifications: 5 years coding experience with medical coding...