CBO Coding Complex Specialist - Troy, MI

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Job Description
GENERAL SUMMARY:

Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, and regulation and accreditation guidelines.

EDUCATION/EXPERIENCE REQUIRED:

• High school diploma or G.E.D. equivalent required.
• Minimum of two (2) years coding experience required.
• Additional specialty coding certification or 10 years coding experience required.
• Prior experience in a healthcare revenue cycle position required.
• Specialty coding experience preferred.
• One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.
• Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
• Strong organizational and time management skills required to effectively prioritize work.
• Ability to communicate effectively with colleagues, supervisor, and manager.
• Ability to work independently.
• Ability to work remotely.
• AND MORE...