3 coder 3 jobs found in Troy, MI

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...

*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,...