7 coder certified jobs found in Grand Rapids, MI

PPS - QRP Coder We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers. Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients...

Inpatient Coder Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Position Summary: Responsible for charge capture process for professional...

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Employment Type: Full time Shift: Day Shift Description: Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/ clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Remote Position...

Medical Biller Position We are seeking a skilled and detail-oriented Medical Biller to join our team. In this role, you will be responsible for managing the billing process, ensuring accurate claim submissions, and following up on payments and reimbursements. This remote position is ideal for candidates with experience in medical billing and coding who want to work in a flexible, virtual environment. Key Responsibilities Prepare, review, and submit accurate medical claims to insurance companies or government programs. Verify patient insurance coverage and eligibility for services. Process claims for reimbursement and ensure timely follow-up on denied or unpaid claims. Post payments, adjustments, and reconcile billing statements. Communicate with insurance companies to resolve claim discrepancies, rejections, or denials. Assist patients with billing inquiries and resolve payment issues. Ensure compliance with healthcare regulations and billing standards (e.g., HIPAA,...

ABA Billing Specialist Key Responsibilities: Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers Verify insurance eligibility and benefits for new and existing clients Track and follow up on unpaid or denied claims; initiate appeals as needed Manage authorizations, re-authorizations, and documentation requirements for ongoing services Reconcile payments, post EOBs, and generate client invoices as needed Maintain compliance with HIPAA, payer guidelines, and ABA-specific billing codes (e.g., CPT 97151, 97153, 97155) Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations Requirements: 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services Proficiency in billing software and clearinghouses (e.g., CentralReach, Office Ally, Kareo, SimplePractice) In-depth knowledge of ABA billing codes, modifiers, and...

Medical Biller Position We are seeking a skilled and detail-oriented Medical Biller to join our team. In this role, you will be responsible for managing the billing process, ensuring accurate claim submissions, and following up on payments and reimbursements. This remote position is ideal for candidates with experience in medical billing and coding who want to work in a flexible, virtual environment. Key Responsibilities Prepare, review, and submit accurate medical claims to insurance companies or government programs. Verify patient insurance coverage and eligibility for services. Process claims for reimbursement and ensure timely follow-up on denied or unpaid claims. Post payments, adjustments, and reconcile billing statements. Communicate with insurance companies to resolve claim discrepancies, rejections, or denials. Assist patients with billing inquiries and resolve payment issues. Ensure compliance with healthcare regulations and billing standards (e.g.,...