Role Description The Coder Abstractor is responsible for the charge capture process for professional charges within the Munson system, including but not limited to: - Verifying and/or analyzing medical record and/or encounter form documentation to determine the principal 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) and Munson. - Performing data entry and discrepancy resolution. - Serving as a liaison between CBO and sites/departments. - Assisting in the orientation and training of new employees within the coding and charge capture area. - Reviewing office-based electronic charges and encounter forms for completion and accuracy, including accuracy of ICD9/10CM, CPT, and HCPCS modifier assignment, coding and entering charges at a 95% accuracy rate. - Reviewing and interpreting physician documentation of surgical procedures to accurately assign and enter billing codes. - Working with the central billing team to ensure charges are coded and entered within two business days. - Identifying educational needs and/or compliance issues and reporting them to the Director of Central Billing Office. - Performing accurate data entry of charges. - Resolving coding discrepancies related to coding and revenue capture. - Obtaining and maintaining education appropriate to the position. - Serving as an expert resource for physicians, office management staff, and central billing staff. - Researching and responding to coding and compliance questions, coordinating accurate assignment of procedure codes and modifiers. - Performing other duties as assigned. Qualifications - Associate’s degree in Health Record Technology, or related healthcare field and two years of professional coding experience and must obtain the credentials of a Certified Professional Coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA) within 18 months of employment. - OR three years of professional coding experience and has obtained the credentials of a certified professional coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA). - OR four to five years of professional coding experience and must obtain the credentials of a certified professional coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA) within 18 months of employment. - Fully remote! Must have at least two years of general surgery coding. Requirements - Munson Healthcare requires all employees to be vaccinated or have lab-confirmed immunity for Measles, Mumps, Rubella, and Varicella. - MHC also requires all 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. Benefits - Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. - Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. - Free wellness platform for you and your family, plus personalized support for personal or family challenges. - Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings. Company Description More Than Just Care, It’s Community. Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern 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.

Role Description A Day in the Life - Analyzes each medical record to determine which items will be coded and abstracted. - Accurately codes and abstracts inpatient medical records, per work assignment, meeting expected productivity standards. - Assigns ICD10-CM diagnosis, ICD10-PCS procedure codes and CPT-4 procedure codes, per established national, departmental guidelines and AHIMA Code of Ethics. - Abstracts and/or edits medical record data as required by departmental guidelines. - Assigns and enters charges for ER EM levels, infusions, injections, and procedures per departmental guidelines. - Communicates with physicians and Clinical Documentation Integrity Specialists to request clarification and/or additional record information that will ensure correct code assignment, appropriate reimbursement, and compliance with established guidelines. - Maintains organized system for personal coding reference material. - Participates in educational activities and maintains coding skills. Qualifications - Associate's or Bachelor's degree in Health Information, or CCS certification with a minimum of 2 years coding experience will be considered. - Certification as a Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. - One to three years' previous experience using ICD10-CM and ICD10-PCS coding systems is required. - Demonstrated ability to meet productivity and quality standards is required. Requirements - Must have a minimum of two years of inpatient coding experience including coding very complex diagnoses and procedures. - Experience with Prebill processes and timely communication and collaboration with CDI to ensure coding accuracy and optimal billing outcomes. - Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. - MHC also requires all 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. Benefits - Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. - Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. - Free wellness platform for you and your family, plus personalized support for personal or family challenges. - Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings.

• This position is responsible for coding interventional radiology and diagnostic radiology services in both Global and Professional settings. • The Coding Specialist abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10, CPT, HCPCS, MIPS codes and modifiers to patient records according to established procedures. • The specialist is familiar with standard concepts, practices, and procedures within a particular field; relies on limited experience and judgment to plan and accomplish goals; performs a variety of tasks; and works under general supervision. • This position typically reports to a supervisor or manager. • Accurately assign codes to medical procedures • Correctly assign and sequence codes per coding guidelines and insurance regulations • Follow medical coding guidelines and policies. • Identify and correct coding errors when found. • Notifies coding feedback to Coding Manager.

• Reviews emergency room medical records to assign ICD, CPT, HCPCS codes accurately • Meets and exceeds productivity and quality standards • Reviews physician documentation and performs audits to determine accuracy as needed • Updates charges (as needed) and processes the records in a timely manner • Reviews tasks and corrects codes as needed • Provide training to fellow staff to improve coding outcomes