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Trinity Health Professional Medical Office Coder in Muskegon, Michigan

POSITION SUMMARY

Responsibility to capture, review and accept all charge information into practice management system for all assigned providers, making sure that each charge is entered correctly with proper CPT and ICD-10 codes, as well as proper modifiers, following Mercy Health Physician Partners practices and policies. May require analyzing medical record and/or encounter form documentation to verify the principle and all secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing data entry; and performing discrepancy resolution. Discrepancy resolution includes working all the edits and holds under specific assigned worklist. Position serves as a liaison between the Central Billing Office and the practice locations. Assists in the orientation and training of new employees within the coding and charge capture area.

JOB SPECIFIC FUNCTIONS

Responsible for reviewing encounter forms or EHR for completion and accuracy, including accuracy of ICD10CM, CPT and HCPCS modifier assignment. Understands Athena EHR for charge passing position, able to review chart for missing items. Creates, reviews and correctly edits claims as appropriate. Accepts accountability for all Worklists in the claim inbox that are assigned to their role. Reads and understands operative reports and other medical records, able to assign codes form review of these records procedures from notes. Interprets billing slips and/or Athena Clinical's billing tab for claim/code creation. Accountable for charge entry lag for missing slips that are completed. Understands the claim correction process and how to properly submit per payer request. Responsible for resolving coding discrepancies related to coding and revenue capture. Participates in the liaison process between the CBO and office sites and serves as their key billing resource. Responsible for obtaining and maintaining education appropriate to the position. This includes physician revenue cycle understanding from start to finish, i.e. kickcodes, kickreasons, denials, rules, etc.

POSITION QUALIFICATIONS

  • Minimum: High school graduate or equivalent

  • Must attain a minimum of 90% on Coding-Billing Test for consideration of role, and maintain a test score of 90% or above on a semi-annual testing basis.

-Must have CPC (certified profession coder certification)

  • Must have 1-3 years of experience in a medical office setting with experience in medical billing.

  • Preferred: Prior medical business office experience including ICD10, CPT and HCPCS experience with experience in medical billing.

LOCATION/SHIFT

Full time, 40 hours/week, benefit eligible, 1st shift, Monday-Friday, located at the Steindler Building near the Mercy Campus.

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Job Number: 00166257

Location: Muskegon, MI

Organization Name: Mercy Health

Facility: MHWMI - MHP Steindler Building

Employment Type: Full time

Shift: Day Shift

Hours: 40

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