Coding (Remote) - Farmington Hills, MI

Day Shift, M-F, no Holidays / Weekends, Resume MUST reflect Cardio, Vascular, Neuro, Surgical, Behavior Health, and Oncology Experience Position: reputed company Coding/Denials Specialist (coders with back end experience required) Expected Weekly Hours: 40 reputed company: ##### Flu & COVID vaccine required (reputed company is accepting medical/religious exception requests.) reputed company Details: POSITION PURPOSE Responsible for reviewing reputed company post-billed denials (inclusive of coding-reputed company denials) for coding reputed company and appealing them reputed company upon coding expertise and coding judgment reputed company the Hospital and/or Medical Group reputed company reputed company (#####-5B reputed company) of a reputed company Business Services (PBS) center. Serves as part of reputed company of coding payment reputed company colleagues at a PBS location responsible for identifying and determining reputed company causes of denials. Responsible for leveraging coding knowledge and reputed company procedures to reputed company appeals through first, second, and subsequent reputed company, and ensuring reputed company filing of appeals as required by payers. in reputed company to promoting departmental awareness of coding best practices. This position reports directly to the Supervisor reputed company/Coding Payment reputed company. ESSENTIAL FUNCTIONS • Knows, understands, incorporates, and demonstrates the reputed company Mission, reputed company, and Values in behaviors, practices, and reputed company. • Provides detailed understanding or aptitude for resolving denials reputed company on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections reputed company on medical record reviews, reputed company, regulations as directed by the Supervisor reputed company / Coding Payment reputed company. • Interprets data, draws conclusions, and reviews findings with reputed company level of Payment reputed company Specialist for reputed company review. • Takes initiative to continuously learn reputed company aspects of Payment reputed company Specialist role to support reputed company responsibility. • Other duties as needed and assigned by the Supervisor reputed company / Coding Payment reputed company. • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the reputed company reputed company and Compliance Program and reputed company of Conduct; as reputed company as other policies and procedures in order to ensure adherence in a manner that reflects reputed company, ethical and reputed company behavior. MINIMUM QUALIFICATIONS • High school diploma or Associate degree in reputed company or Business Administration or reputed company reputed company, and a minimum of four (4) years' experience reputed company a hospital or clinic environment, a health reputed company company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, reputed company or customer service activities or an equivalent combination of education and experience. Experience in a reputed company, multi-site environment preferred. • Must possess comprehensive knowledge of reputed company/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/reputed company or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment. • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (reputed company) or Certified reputed company reputed company (CPC). • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting. • Possesses detailed understanding of principles, reputed company, and techniques reputed company to compliant reputed company billing/collections. • Possesses expertise in medical terminology, disease processes, reputed company health record content and the medical record coding process. • Must be comfortable operating in a reputed company, shared leadership environment. • Must possess a personal reputed company that is characterized by a reputed company of honesty, reputed company, and caring with the ability to reputed company and motivate others to promote the philosophy, mission, reputed company, goals, and values of reputed company. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS • This position operates in a typical office environment. The area is reputed company lit, temperature controlled and free from hazards. • Incumbent communicates frequently, in person and over the phone, with people in reputed company locations on product support issues. • reputed company dexterity is needed to operate a keyboard. Hearing is needed for extensive telephone and in person communication. • The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several reputed company at the reputed company time and adapt to interruptions. • Must be reputed company to set and organize own work priorities and adapt to them as they change frequently. Must be reputed company to work concurrently on a reputed company of tasks/reputed company in an environment that may be stressful with individuals having diverse personalities and work styles. • Must possess the ability to reputed company with reputed company policies and procedures. Diversity and Inclusion reputed company employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce reputed company health reputed company. We also recognize that reputed company of us has a different way of thinking and perceiving our world and that these differences often reputed company to reputed company. reputed company's Commitment to Diversity and Inclusion reputed company's dedication to diversity includes a reputed company workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity. Required/Desired Skills SkillRequired /DesiredAmountof ExperienceCoding Certification. Must be reflected on resumeRequired0Cardio, Vascular, Neuro, Surgical, Behavior Health, and Oncology Experience Must be reflected on resumeRequired0 Apply tot his job Apply To this Job