Offer summary

Qualifications:

Minimum 3-5 years of clinical experience preferred., Thorough knowledge of anatomy, physiology, and medical terminology is essential., Minimum of 2 years of inpatient and outpatient coding experience preferred., RHIT, RHIA, or related coding certification is required..

Key responsabilities:

Review and assess audit-related denials for outpatient, procedural, and inpatient cases.

Analyze diagnostic and procedural information from medical records for billing purposes.

Ensure compliance with coding guidelines and third-party reimbursement policies.

Exercise clinical judgment in accordance with established policies and procedures.

*Job seekers: please be aware of fraudulent job postings and phishing scams via LinkedIn. Henry Ford Health only contacts applicants through our human resources department and via a corporate email address. Here are some tips to be aware of: http://ow.ly/Kc0o50EKory Serving communities across Michigan and beyond, Henry Ford Health is committed to partnering with patients and members along their entire health journey.Henry Ford Health provides a full continuum of services – from primary and preventative care, to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other healthcare retail.It is one of the nation’s leading academic medical centers, recognized for clinical excellence in cancer care, cardiology and cardiovascular surgery, neurology and neurosurgery, orthopedics and sports medicine, and multi-organ transplants. Consistently ranked among the top five NIH-funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of health professionals, Henry Ford Health trains more than 4,000 medical students, residents and fellows every year across 50+ accredited programs.With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.The health system is led by President and CEO Bob Riney and serves a growing number of customers across 250+ locations throughout Michigan including five acute care hospitals, two destination facilities for complex cancer and orthopedics and sports medicine care, three behavioral health facilities, primary care and urgent care centers.

Job description

General Summary

Under minimal supervision, in accordance with established policies, procedures, guidelines and criteria, regularly exercises clinical judgment in the review and assessment of audit related denials for outpatient, procedural, and inpatient cases. Using established coding principles and procedures reviews, analyzes and reviews diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.

Education/Experience Required

Minimum three-five (3-5) years of clinical experience preferred.
Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
Minimum of two years inpatient and outpatient coding experience preferred but not required, with additional experience preferred.

Certifications/Licensures Required