24 jobs found in Livonia, MI

Applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: Abstracts pertinent information from patient records. Assigns the International Clas Medical, Coder, Healthcare, Health

Shift: Days 8:30AM - 5:00 PMCertified coder for busy multispecialty surgical practice, experience in general surgery or neurosurgery coding preferred.GENERAL SUMMARY: Applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities:Abstracts pertinent information from patient records. Assigns the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments.Obtains acceptable productivity/quality rates as defined per coding policy.Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.Maintains knowledge of and complies with coding guidelines and reimbursement reporting requirements.Conducts...

Job Description Job Description Duties: 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. Requirements: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding. CCS, CCS-P, CPC, or COC certification required. Minimum of two (2) years\'\' experience coding outpatient medical records using ICD-10-CM, ICD-10-PCS, CPT-4 and E&M classification systems required. Proficient with ICD-10-PCS coding. Licensure: Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required. Skills: Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA - Required Education: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding - Required

Anticipated End Date: 2025-04-25 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Location: This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physicians statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to...

Job Description This is a hybrid position with in-person work required in Detroit, MI. The Orthopedic Coder works independently on a daily basis responsible for the abstracting and coding of medical records and assigning codes with a high degree of accuracy. Responsibilities Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources. Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement. Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner. Reviews medical records and physician documentation to code patient charges Assists...

Job SummaryWe are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Dermatology Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accuracy in medical coding, and facilitating timely payments from insurance companies and patients. A strong understanding of medical terminology, coding systems, and collections is essential for success in this role.Responsibilities Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9. Review patient records to ensure all necessary information is included for billing purposes. Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. Follow up on unpaid claims and conduct medical collections as necessary. Maintain accurate records of all billing transactions and communications with insurance companies and patients. Collaborate with healthcare providers to...

Job Description Job Description Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and report unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines. Performs other related duties as requested by the Home...

Job Description Job Description Description: HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES: FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WV Ready for a change? Are you an Experienced Medical Biller - Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!! NEW HIRE ORIENTATION STARTS JULY 16TH! The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies. The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction. Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner. Demonstrate a high level of expertise in the management of denied claims and deploy an analytical approach to...

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 guidelinesEDUCATION/EXPERIENCE REQUIRED:•High School Diploma or G.E.D. equivalent required.•Additional specialty coding certification required or five (5) years coding experience.•One to two (1-2) years...

Job Title: Outpatient Orthopedic Profee Coder/Auditor Location: Southfield, MI (Hybrid) Industry: Healthcare Pay: $20-$31/hr (depending on experience), with bonus potential About Our Client: Addison Group is working with a healthcare organization that is bringing coding operations back in-house. This is a direct hire opportunity to join a growing team in a newly created role focused on coding quality and provider collaboration. Job Description: This role is responsible for professional coding and auditing within an orthopedic outpatient setting. The coder/auditor will work closely with providers and coders to ensure coding accuracy and compliance, primarily reviewing surgical procedures and E/M services. Key Responsibilities: Abstract codes and assign appropriate CPT, ICD-10-CM, and modifiers for orthopedic outpatient encounters Perform audits of coder work to ensure quality and adherence to standards Conduct E/M leveling and surgical coding reviews Collaborate directly with...

Job Description: Work onsite in the office once a week; this could potentially change Responsible for reviewing and researching new code changes that are released by the Coding Authorities (AMA, Client) for system implementation for PPO and HMO Commercial Business.Required Skills: Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books RHIT or RHIA Certification Required Ability to analyze, investigate and organize ideas in defining and formulating solutions Proficient in current industry standard PC applications and systems (e.g. Word, Excel and MS Office) Ability to work independently, within a team environment and handle multiple priorities Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books RHIT or RHIA with specialty certification of CCS, CCS-P preferred Works collaboratively with Physicians and other team members Knowledge of PPO and HMO claim systems and benefits a plus.EEO EmployerLanceSoft is a certified Minority Business...

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

Department: 107200 Medical Affairs Location: San Diego, USA- Remote Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease. At Travere Therapeutics, we recognize that our exceptional employees are vital to our success. We are a dedicated team focused on meeting the unique needs of rare patients.Our work is rewarding - both professionally and personally - because we are making a difference. We are passionate about what we do. We are seeking talented individuals who will thrive in our collaborative, diverse, fast-paced environment and share in our mission - to identify, develop and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our vision of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community. At Travere Therapeutics, we...

Job Description Job Description GENERAL SUMMARY: The Billing Follow-Up Specialist is responsible for participating in billing activities that involve the follow-up process for denied claims, coding errors, and other issues. Additionally, the Billing Follow-Up Specialist monitors the department's incoming materials (mail, deliveries, etc.) and seeing to day-to-day tasks of the greater billing department. Under direct supervision the billing specialist performs general departmental job functions, related clerical tasks including opening and sorting mail, scanning, and the organization and mailing of correspondence.   TYPICAL DUTIES AND RESPONSIBLITIES: Reads incoming materials and sorts according to filing and record keeping system. Opens incoming mail and accurately sorts for distribution. Prepares and maintains various schedules to allow for payment posting (receipt posting log, missing EOB log, settlement documents, etc.) Post patient payments in the PM system....

Job Summary Under general supervision and according to established procedures, provides technical support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the department. On a daily basis, provides the Coding Manager with departmental statistics such as the monitoring/tracking of Inpatient coder productivity and uncoded figures. Works with the Coding Manager and Coding Educator to identify and resolve coding issues. Serves as the primary contact for outside departments for Inpatient coding related questions. Reports to the Director of Medical Records and the Coding Manager a list of aged accounts. Follow-up with the Medical Records Staff and/or Physician as necessary to obtain required documentation to code all accounts in a timely manner. Provides coding support as directed by the Coding Manager. Essential Functions Provides technical coding support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the...

Job Description Job Description Job Title: Certified Billing Specialist Location: Rochester Hills, MI Company: Rochester Medical Group About Us: Rochester Medical Group is a leading provider of the medical field dedicated to delivering exceptional service and value to our clients. We are looking for a motivated and detail-oriented Billing Specialist to join our team and help streamline our billing processes. Job Summary: Multi-specialty medical practice is looking for a certified billing specialist to manage billing submissions to a third-party servicer. Ideal candidate would be someone with 3+ years of medical billing experience and a robust knowledge of CMS practices and guidelines. Key Responsibilities: - Reviewing and submitting billing data to third party biller - Ensuring each patient’s insurance information is accurate and up to date - Communication with patients regarding outstanding balances and collections of those balances - Maintaining and...

Job Description Job Description We are seeking a full-time experienced Medical Biller and Coding Manager to join our pediatric healthcare team. The ideal candidate would be detailed oriented, have a strong understanding of pediatric medical terminology, coding systems, EMR, and facilitating timely payments from insurance companies and patients. You would work collaboratively in the office with our current billing team and office personnel, and need to effectively communicate with insurance companies and patient caregivers. Benefits include: medical insurance, 401K, paid time off, holidays, paid lunch hour and uniform allowance.

We are seeking a full-time experienced Medical Biller/Coding Manager to join our pediatric healthcare team. The ideal candidate would be detailed oriented, have a strong understanding of pediatric medical terminology, coding systems, EMR, and facilitating timely payments from insurance companies and...

We are seeking a full-time experienced Medical Biller/Coding Manager to join our pediatric healthcare team. The ideal candidate would be detailed oriented, have a strong understanding of pediatric medical terminology, coding systems, EMR, and facilitating timely payments from insurance companies and

Join to apply for the Coding Auditor Professional - Remote role at McLaren Health Care . Position Summary: Responsible for working with physicians, coders, ancillary department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately assign codes and/or determine charges to support those services. Essential Functions and Responsibilities: Complete quality assurance audits on professional coding specialists, onboard new hires, validate accurate data abstraction, and ensure coding compliance. Optimize reimbursement, improve data quality, and ensure consistency in documentation, code assignment, and claims processing. Perform retrospective, random, and focused audits to ensure correct coding, legal compliance, and complete charge capture. Evaluate proper assignment of procedure, modifier, and diagnosis codes for accuracy and compliance. Report audit results, identify...

Job Description Job Description We are growing primary care office looking to hire an in-office medical biller. We are a local, privately owned primary care practice in Howell, MI. We focus on providing high-quality, value-based care. We are looking for someone to join our exceptional and caring staff. Primary duties: Analyze medical record for correct diagnostic, procedural and all data abstraction items. Review, prepare and submit all types of claims (paper or electronic) in a timely manner. Accurately enter insurance and patient payments. Research and respond to billing issues (missing, denied or rejected claims) from insurance companies. Answer billing questions from patients. Clerical duties (answering phones, scheduling patients) Strong organizational skills, attention to detail, self-motivated and interpersonal skills required. Must be comfortable working as a team as well as independently. Analytical and critical thinking skills required. Open office setting with a...

Job SummaryWe are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Podiatry Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensure accuracy in medical coding, and facilitating timely payments from insurance companies and patients. A strong understanding of podiatry-specific medical terminology, coding systems, and collections is essential for success in this role.Responsibilities Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS specific to podiatric procedures. Review patient records to ensure all necessary information is included for billing purposes. Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. Follow up on unpaid claims and conduct medical collections as necessary. Maintain accurate records of all billing transactions and communications with insurance...

Job SummaryWe are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Radiology Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accuracy in medical coding, and facilitating timely payments from insurance companies and patients. This role requires expertise in both hospital (inpatient) and outpatient coding, as well as a strong understanding of medical terminology, billing, and revenue cycle management (including collections).Responsibilities Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings. Review patient records to ensure all necessary information is included for billing purposes. Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. Follow up on unpaid claims and conduct medical collections as...

Job Details Job Location Administration - Flint, MI Position Type Full Time Education Level High School Job Category Health Care Description This position is responsible for billing patient services covered by Medicaid, Medicare, and other third-party payers. This position functions as a liaison between patients, third-party payers, physicians, clinics, and HCHN staff regarding billing. Works under the direction of the Director of Revenue Cycle Management or designee who assigns diverse billing duties and responsibilities. General responsibilities Able to perform accounts receivable collection activities timely and accurately including prioritizing subtasks. Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days. Accurately post all insurance payments by line item. Communicates practice management system issues with the Billing Supervisor to ensure claims are processed accurately and timely* Collects on...