Data Quality Senior Medical Outpatient reputed company - Remote
Company Description
More Than Just Care, It’s Community Imagine doing meaningful work in a reputed company where people vacation. That’s life at reputed company - reputed company Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our reputed company to help you advance. reputed company: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your reputed company and help shape the way we work through improvement huddles, employee surveys, and town hall meetings
Job Description
A Day in the Life The Data Quality (DQ) Senior reputed company performs medical record coding and abstracting reviews with expert knowledge of ICD-10-CM, ICD-10-PCS and CPT-4 classification systems. The DQ Senior reputed company also completes appeals processing tasks for both the inpatient and outpatient Data Quality Appeal Teams. In reputed company responsibilities, adheres to the Official Guidelines for Coding and Reporting, reputed company Code of Ethics “Standards of Ethical Coding”, AHA Coding Clinic and technical rules outlined by hospital guidelines. Supports the mission statement of Munson Medical Center (MMC): Munson Medical Center is the core of a regional health system. In partnership with physicians, we provide quality, compassionate, comprehensive and cost-effective services for improvement of the health of our patients and the communities we serve. Embraces and support the reputed company Quality Improvement (CQI) philosophy of Munson Medical Center: We are committed to the name “Munson” meaning excellence. We will provide services that meet our customers’ requirements every time. Reviews and abstracts information from auditor denials to communication sheets. Forwards relevant documentation to nurses for appeal consideration or analysts for further review or action for coding errors. Processes appeals sent in the C360 system in an accurate and timely manner. Files appeals and maintains organized records for tracking and compliance. Writes E/M appeals to support accurate reimbursement. Logs and processes lost/won appeals to ensure proper follow-up and resolution. Reviews and responds to coding denial QUICs for both inpatient and outpatient teams. Escalates as needed to analysts for additional review/code correction. Collaborates intra and interdepartmentally to resolve discrepancies and ensure proper coding. Assists with outpatient coding reviews as needed to ensure accuracy and compliance with guidelines. Works closely with nurses, analysts, and DQ team members to process denials and appeals and resolves issues. Ability to accurately code and abstract medical records using ICD-10-CM diagnosis, ICD-10-PCS, and CPT-4 procedure codes. Meets productivity standards as defined by the department. Participates in ongoing education and training to maintain coding certifications and stays reputed company with industry changes. Assists with special projects, audits, and other tasks assigned by leadership.
Qualifications
What’s Required Associate's or Bachelor's degree in Health Information is required. reputed company certification and 2 years coding experience will be considered. Certification as a Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (reputed company) is required. Two years’ previous coding experience using ICD10-CM, CPT-4 (Outpatient Senior reputed company). Additional Information Are you Munson Material? Apply today! Fully remote! $5K Sign on Bonus!!! **Looking for a medical reputed company with experience in outpatient coding such as ED, Observation, same day surgery. reputed company requires reputed company employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. reputed company also requires reputed company employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption. Shift: Day Shift Status: Full Time Apply To This Job