7 coder jobs found in Troy, MI

Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences...

GENERAL SUMMARY: Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: Degree in Medical Record Sciences preferred but not required or successful completion of a certification program with certification as a Registered...

GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT, HCPCS, ICD used in the development and maintenance of Benefit Administration Manual policies and HAP's coverage tool (Master Tiering Database) as well as actively participate in various HAP code-related committees and ad hoc projects. PRINCIPLE DUTIES AND RESPONSIBILITIES: Conduct research for development and update of codes for Benefit Administration Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other issues such as new technology. Maintain organized documentation of findings from research as well as proposed resolutions. Research all types of codes (e.g., CPT, HCPCS, ICD) including new codes, existing codes, additions and deletions of codes, use of modifiers, and revenue codes to be compliant with Medicare rules and...

Business (Non-Clinical) General Summary: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Education/Experience Required: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding...

Overview Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established policies and procedures the accuracy and completeness of patient financial, insurance and demographic information to ensure compliant claims to third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. Responsibilities Identify and verify accuracy and completeness of patient financial, insurance and demographic information to ensure compliant claims to third party payers. Resolve problem accounts from payer denials and follow up on claims requiring a payer response. Bill and collect payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. Qualifications High...

*Medical Billing Specialist II/Full Time/Hybrid Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established policies and procedures - the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. High school diploma or equivalent required. Two years of experience in an office environment or healthcare-related field, required. Prior experience in a healthcare revenue cycle position, preferred. Knowledge of Medical terminology, preferred. Knowledge of CPT/HCPCS revenue codes, preferred. College course work in accounting, business or Health Care...

Under minimal supervision, is responsible for the Henry Ford Health System Insurance accounts receivable. Identifies and determines in accordance with established policies and procedures - the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. High school diploma or equivalent required. Two years of experience in an office environment or healthcare-related field, required. Prior experience in a healthcare revenue cycle position, preferred. Knowledge of Medical terminology, preferred. Knowledge of CPT/HCPCS revenue codes, preferred. College course work in accounting, business or Health Care Administration,...