Professional Coder

Cost Center Health Information Management Scheduled Weekly Hours 40 Work Shift First Shift (United States of America) Shift & Status Who Are We? We at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the impact of our life-changing work each day. Each day, we are closing the gaps in access to care. We are innovating through leading-edge research, testing, programs, and treatment modalities that others replicate across the country. Our services include a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day programs), assessment and testing, residential, addiction treatment and specialty services such as crisis response, employee assistance programs, forensic psychiatry and psychology, and neuromodulation. On-the-job educational programs for nurses, psychologists, advanced practice providers, psychiatrists, and chaplains are equipping the next generation of care providers. We are passionate about serving and are honored to be a part of this incredible work. As a Professional Coder at Pine Rest, you’ll be part of tight-knit team that believes in the healing power of your expertise and compassion. The Professional Coder under the direct supervision of the HIM Manager and Coding Lead, the Professional Coder is responsible for the timely and accurate coding review of all HRS professional records for the purpose of reimbursement and compliance with regulatory agencies according to diagnoses and procedures guidelines. They are dedicated to excellent customer service, enthusiastic about the care we offer, and foster a sense of belonging and empowerment in a diverse workplace. Principal Duties and Responsibilities: Must be able to work and communicate effectively with providers and employees of the Contact Center/Utilization Management, Patient Accounts, Information Systems, and others, as needed. Appropriately interact with the organizationadministrators, directors, and staff leads. Will be required to work in a highly confidential area without disclosure of confidential information. Maintains professional code selection of HRS and ORS records Accurately codes records. Provides coding audit feedback to providers, as needed. Ensures coding accuracy rate of 90% or better. Ensures copy/paste review rates of 90% or better for prescribers. Gives accurate attention to details. As required, actively participates in performance improvement projects. Demonstrates a consistent level of performance; strives to maintain a steady level of productivity. Works worksheets, as assigned. Adapts to changes in the workload. Demonstrates the ability to read, write and comprehend the contents of a medical record sufficiently to code. Demonstrates a thorough knowledge of ICD 10-CM medical coding, CPT, and APC’s. Demonstrates a thorough working knowledge of medical terminology and asks questions to clarify misunderstandings. Demonstrates a complete understanding of all coding procedures regarding the sequencing of diagnoses and procedures. Demonstrates knowledge of human anatomy and physiology to interpret general medical and mental/behavioral health classifications for coding. Complies in all material respects with the Corporate Compliance Policy and all federal, State and local laws and regulations applicable to position. What Does This Role Require? Education/Experience: Required certification as RHIT, CPC, CCS, or other medical coding certification Preferred 1-3 years professional coding experience Completion of medical terminology course Benefits: Medical, dental, vision & life insurance plans 403(b) retirement match contribution by Pine Rest Generous PTO for full and part time employees Tuition assistance & loan forgiveness Employee Assistance Program offering many free and discounted services for therapy, legal, accounting, gym membership, etc. Partnership with Davenport University provides generous discount on tuition for employees and family members. Notice: Pine Rest provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. All new employees are subject to a criminal background check and education verification which may include sending a copy of your high school diploma, GED, or college transcripts. Successful completion of a drug screen prior to employment is also part of our background process. Pine Rest Christian Mental Health Services requires all employees to receive the COVID-19 vaccinations subject to certain exclusions. Pine Rest is committed to granting reasonable accommodations in accordance with applicable laws.