Full Time Remote Risk Adjustment Coder Jobs in Grand Rapids, MI

The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstracts coded data from the Epic electronic medical record according to the established standard of work, while maintaining established quality accuracy and productivity standards. Works collaboratively with leadership, financial and clinical teams to ensure Diagnostic Related Groups (DRG) or All Patient Refined Diagnostic Related Groups (APR-DRG) accuracy.
The outpatient senior coder will review multiple service lines of outpatient services (ambulatory surgery, observation, interventional radiology/cardiology, emergency) record accounts to assign correct ICD-10-CM diagnosis codes, CPT procedure codes, add modifiers, review claim edits, etc. per the industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstract coded data from the Epic electronic medical record according to the established standards of work, while maintaining the established quality accuracy and productivity standards.

• Consistently Meets Monthly Productivity Standard: 100%
• Consistently Meets Biannual Quality Standard: 95%
• Use of an electronic medical record and encoder in a remote work environment.
• Codes outpatient or inpatient records according to coding guidelines and conventions. Assigns diagnoses and procedures for billing process, data retrieval and research purposes, using numerical codes of ICD-9-CM/ICD-10-CM/PCS and CPT-4 coding.
• Provides education and training regarding coding guidelines of specialty area to clinical and non-clinical staff.
• Communicates, collaborates and acts as a team player with others in order to ensure continuity of services.
• Optimize codes for reporting and generates APCs for all outpatient records. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Participate in process improvement activities including but not limited to assuring accounts that cannot be coded are held for valid reasons.
• Must attend all staff meetings required by management.

Required

• High School Diploma or equivalent
• 2 years of relevant experience coding

1 of 5 certifications

• CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire
• CRT-Registered Health Information Technician (RHIT) - AHIMA American Health Information Management Association
• CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association
• CRT-Professional Coder - AAPC / American Academy of Professional Coders
• CRT-Outpatient Coder, Certified (COC)
• CPC - Certified Professional Coder

Preferred

• Associate's degree in health information technology/management
• Bachelor's degree Health information technology/management

• ICD-10-CM, ICD-10-CPS, CPT coding experience

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.

• Comprehensive 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
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

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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.