29 jobs found in Lansing

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Baylor Scott & White Health is seeking a Coding Auditor 1 to perform coding quality audits and provide feedback to coders. The role requires strong knowledge of ICD-10-CM/PCS, HCPCS, CPT, and related coding references to ensure accurate classification and DRG grouping. The candidate should have 5 years of coding experience with at least 1 year as a coding auditor, and must hold one of several coding certifications. This is a health system focused on quality and compliance. #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Esperion, a fully remote company with HQ in Ann Arbor, MI, seeks an Associate Director, Medical Communications to lead scientific content development and support strategic Medical Affairs initiatives. Reporting to the Director, you will guide medical information platforms (e.g., Veeva) and coordinate cross-functional teams to ensure compliant, impactful communications. You will oversee SOPs, data education strategies, and cross-functional collaboration while mentoring fellows. #J-18808-Ljbffr

Company Overview Our Mission: At Esperion, we are working tirelessly to deliver innovative medicines that help patients reach their goals today, tomorrow, and into the future. Esperion is a fully remote based company with a corporate headquarters located in Ann Arbor, MI. The Company offers a competitive salary including a performance-based bonus program and a comprehensive benefits package including a 401(k) matching plan and health insurance, and paid time off and holidays. Position Title: Associate Director, Medical Communications Reporting to the Director, Medical Communications. Responsible for leading the development of scientific content that empowers clinical decision-making and responsible for supporting strategic operational initiatives of the Medical Affairs function. Preferred Location: Remote – US Essential Duties and Responsibilities* Direct Esperion Medical Information – including providing direction to the Med Info contact center vendor, guidance to escalated cases,...

Serco is seeking Medical Coding Auditing Specialists to perform systematic audits across DHA Markets and Military Treatment Facilities. You will develop annual audit plans, perform targeted coding reviews, and support government surveillance efforts, requiring strong proficiency in ICD-CM, CPT, and related coding standards. Candidates must have multi-certification credentials and a background in health information management. #J-18808-Ljbffr

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and identify opportunities for...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy, reviews medical records, and confirms compliance with state and federal requirements. Strong documentation and communication skills are essential for presenting findings to investigators and leadership. You will audit CPT/HCPCS coding, identify potential fraud or errors, and maintain thorough records. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Trinity Health: Coder IV Inpatient Coder (Remote) Employment Type: Full time Shift: Description: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. ESSENTIAL FUNCTIONS:...

Munson Healthcare Careers is seeking a remote Coder Abstractor to manage charge capture processes and ensure coding accuracy. Candidates should have two years of coding experience, preferably in Pulmonary coding, and must obtain relevant coding credentials. The role includes training new staff, ensuring compliance, and reviewing physician documentation for accurate billing codes. Generous benefits include tuition reimbursement, PTO, and wellness support. #J-18808-Ljbffr

Employment Type: Full time Shift: Day Shift Description: Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Accesses charge work queues and systems to assign ER and Observation charges if performed by HIM. May also require calculation of Observation hours if performed by HIM. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. Utilizes coding guidelines established by: The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS...

Job PostingJob InformationJob Opening ID 9550Date Opened 05/07/2024Job Type ContractLanguage Skills EnglishLocation LansingIndustry Health CareSalary 49/hrRemote JobJob DescriptionThis is a remote position. Job Details: - Assign diagnosis and procedure codes to reflect the condition(s) and treatment provided to the patient based on the documentation within the record for both inpatient and outpatient stays. The code assignment is utilized to determine reimbursement for the facility and physician, quality measures, hospital statistics, and medical research. Skills and Experience REQ: - Knowledge of the contents of the medical record - Demonstrates working knowledge of ICD-10-CM, ICD-10 PCS and CPT 4. Passing Score of 80% or higher on the coding test to be considered. - Working knowledge of Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) - Previous outpatient and/or inpatient coding experience – 1 year minimum - Must be a member of the AHIMA in good...

Job OpportunityPositions Location: Lansing, MIJob DescriptionGeneral Purpose of Job: Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine – Sparrow policies and procedures and maintains required quality and productivity standards.Essential...

Munson Healthcare is seeking a Coder Abstractor to manage the charge capture process, ensuring coding accuracy and compliance. This fully remote role requires at least two years of experience in cardiology coding along with either an associate’s degree in a healthcare-related field or equivalent professional experience. Candidates must obtain a professional coding credential within 18 months. Eligible for a sign-on bonus of $5,000. Vaccination requirements apply. #J-18808-Ljbffr

Overview Team Rehab is a network of therapist-owned outpatient physical therapy clinics in Michigan, Illinois, Indiana, Wisconsin and Georgia. Our mission is to provide the best outpatient physical therapy, occupational therapy and speech therapy. We want our patients to enjoy therapy and experience clear improvements in their health. Our clinics receive the highest levels of patient satisfaction and our patients receive the best objectively measurable outcomes. Our strategy, based on excellent quality and patient satisfaction, is gaining momentum. Since opening our first clinic in 2001, we have grown across Michigan and into Illinois, Indiana, Wisconsin, and Georgia. We continue to open additional clinics in order to make physical, occupational and speech therapy even more accessible to our patients, their friends and their families. Common Standards Never say anything disrespectful about any group, whether they are formally protected by law or not. Never use language that another...

Position Description & Qualifications Serco is excited to continue our support to the Defense Heath Agency (DHA) Medical Coding Program Branch (MCPB). The DHA is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force to Combatant Commands in both peacetime and wartime. The essential mission of the DHA Medical Coding Program Branch (DHA-MCPB) is to improve the accuracy and quality of medical coding and documentation across DHA in support of the DHA mission. Medical Coding Auditing consists of a systematic, unbiased, independent examination of medical documentation and coding to validate that all codes entered into the Military Health System (MHS) systems are in conformity with official coding policies, regulations, requirements, and standards. The auditing task involves developing or following a disciplined, systematic process that defines what is to be audited and why, how errors are defined and...

Job Responsibilities The Coder Abstractor is responsible for the charge capture process for professional charges within the Munson system, including verifying and analyzing medical record and encounter form documentation to determine principal and all secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by CMS and Munson; performing data entry; and resolving discrepancies. Serves as a liaison between CBO and sites/departments and assists in the orientation and training of new employees within the coding and charge capture area. Reviews office‑based electronic charges and encounter forms for completion and accuracy, ensuring accurate ICD‑10‑CM, CPT, and HCPCS modifier assignment. Codes and enters charges at a 95% accuracy rate. Reviews and interprets physician documentation of surgical procedures to accurately assign and enter billing codes, identifying all applicable diagnosis and procedure codes....

Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: 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 ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings. Job Description A Day In The Life The Coder Abstractor is responsible for 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 principle 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...

Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: 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 ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings. Job 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 and ICD10-PCS procedure codes per established national, departmental guidelines and AHIMA Code of Ethics. Communicates with Clinical Documentation Integrity Specialists to request clarification and/or additional record information...