49 billing certified coder jobs found

Medical Coder Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases (ICD) coding rules and regulations. Responsibilities:...

Observation Outpatient Coder We are seeking a detail-oriented and knowledgeable Observation Outpatient Coder to join our healthcare team. The ideal candidate will be responsible for accurately translating both professional and facility services into standardized medical codes using ICD-10-CM, CPT, and HCPCS coding systems. The Coder plays a crucial role in ensuring that our documentation is precise and in compliance with regulatory standards. This position demands a keen eye for detail, a deep understanding of medical terminology, and the ability to maintain patient confidentiality and data integrity. The Observation Coder will work closely with providers, medical staff, and billing departments to streamline coding processes and optimize reimbursement procedures. Responsibilities Accurately code procedures and diagnoses using ICD-10-CM, CPT, and HCPCS coding systems. Review and interpret clinical documentation to ensure appropriate code selection. Collaborate with...

Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Job Summary We are seeking a detail-oriented and knowledgeable Emergency Medicine Outpatient Coder to join our healthcare team. The ideal candidate will be responsible for accurately translating both professional and facility services into standardized medical codes using ICD-10-CM, CPT, and HCPCS coding systems. The Coder plays a crucial role in ensuring that our documentation is precise and in compliance with regulatory standards. This position demands a keen eye for detail, a deep understanding of medical terminology, and the...

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...

Job Description Medical Biller Job Type: Full-time | Day Shift (No nights, weekends, or holidays) Locations: Grand Rapids, MI Join Our Team at Grand Valley Medical Specialists Grand Valley Medical Specialists (GVMS) is a well-established, physician-owned private practice that’s been serving the Grand Rapids community since the 1930s. Our team includes 15 internal medicine, pediatrics, and family medicine physicians, along with 5 advanced practice providers—all working together to provide compassionate, high-quality care. We’re currently seeking a detail-oriented Medical Billing Specialist with strong analytical skills and a thorough understanding of revenue cycle management. This role is essential to ensuring accurate coding, timely billing, and effective follow-up on claims, helping our practice maintain financial health while supporting excellent patient care. What You’ll Do Accurately code medical services and procedures to ensure proper billing and compliance Submit...

Certified Medical Biller/Coder & Revenue Cycle Manager Focus Clinic is seeking a full-time Certified Medical Biller/Coder and Credentialing Specialist to take ownership of our revenue cycle operations as our clinic continues to grow. This role is ideal for a highly organized, proactive, and mission-driven professional with expertise in medical coding, insurance billing, and accounts receivable. The successful candidate will combine exceptional attention to detail and accountability with the compassion and clear communication our patients and families deserve. Key Responsibilities: Medical Coding and Documentation Review Accurately assign CPT, ICD-10-CM, HCPCS, and applicable modifier codes across Focus Clinic's multidisciplinary services, including medical visits, diagnostic evaluations and testing, therapy services, and other covered services. Review clinical documentation to confirm that services are supported, appropriately coded, and compliant with payer...

Revenue Cycle Team Member 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 experience. One to...

Outpatient Acute Care Coder - Emergency Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Employment Type:  Full Time Location:  Remote Reports To:  Coding Operations Manager Job Summary: The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Will match outpatient coding area to experience (i.e. Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.) Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers...

Job Opportunity Positions Location: Lansing, MI Job Description General 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....

Job Opportunity Positions Location: Lansing, MI Job Description General 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....

Coder - Hospital Outpatient Services - Revenue Cycle Mid Service * Days - 40hrs/wk Requisition #: req11650 Shift: Days FTE status: 1 On-call: No Weekends: No One year ambulatory surgery/OBV experience required. General Summary: Under the direction of the Coding Supervisor and Manager, the Coder for Hospital Services is responsible for accurately coding outpatient conditions and procedures. The Coder reviews clinical documentation and diagnostic results in order to extract data for billing, internal and external reporting, and research, ensuring all codes are appropriately applied per the ICD-10-CM Official Guidelines for Coding and Reporting. When applicable, the Coder is responsible for accurately and completely capturing charges for hospital services provided by reviewing clinical documentation. This data is utilized for revenue processing, internal and external reporting, research and regulatory compliance as documented in the CPT guidelines. Knowledge, Skills...

Coding Specialist 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. Principle Duties and Responsibilities: Identifies all diagnostic and operative procedures and other pertinent patient stay data for Henry Ford Health System databases by thoroughly...

Job Title Business (Non-Clinical) Company Henry Ford Medical Group Requisition Number 2611335 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. Principal Duties and Responsibilities Identifies all diagnostic and operative...

Senior Medical Records Coder Are you an experienced inpatient coder who thrives in fast-paced, academic environments and wants to make a lasting impact beyond the chart? This Senior Medical Records Coder role sits at the heart of two dynamic Family Medicine Residency programsCorewell Health Troy Beaumont and CHMG EastGrosse Pointesupporting highly productive faculty physicians, community preceptors, and more than 24 residents and medical students. In this highly visible and influential position, you'll serve as both coding expert and educator, guiding providers through complex documentation, billing, and compliance requirements while helping shape the next generation of primary care physicians through audits, one-on-one education, resident orientation, and ongoing regulatory review. 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...

Job Description Job Description Neurology and pain management office is seeking an experienced medical biller. The ideal candidate will have a strong background in medical billing and coding, with the skills necessary to increase collections and reduce A/R days by effectively working denied claims. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism. Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims, and report any problems, issues, or payer trends to management Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient Research payer guidelines and write and submit appeals...

Employment OpportunitiesProvides 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:Knows, understands, incorporates, and demonstrates the Trinity Health Mission,...

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...

MICHIGAN RESIDENTS ONLY. Join the team that is redefining how EMS and mobile healthcare is delivered in Michigan. Medstar provides 911 service to more communities in Southeast Michigan than any other provider, and our critical care, air medical, and inter-facility partnerships continue to grow throughout the region. We are currently looking to add an experienced ambulance billing coder to the Medstar team! If you are looking for a fast‑paced, strategic atmosphere to call home, Medstar may be the place for you. This position can be in office, hybrid or remote for individuals located in Michigan. Job Summary The Biller will input all claim information following the CMS coding guidelines. Provides accurate patient demographic and insurance information and inputs information into patient record. Essential Duties and Responsibilities Review patient care reports thoroughly, utilizing all available documentation in order to establish medical necessity, selection of levels of service,...

Ambulance Billing Coder Join the team that is redefining how EMS and mobile healthcare is delivered in Michigan. Medstar provides 911 service to more communities in Southeast Michigan than any other provider, and our critical care, air medical, and inter-facility partnerships continue to grow throughout the region. We are currently looking to add an experienced ambulance billing coder to the Medstar team! If you are looking for a fast-paced, strategic atmosphere to call home, Medstar may be the place for you. This position can be in office, hybrid or remote for individuals located in Michigan. Job Summary The Biller will input all claim information following the CMS coding guidelines. Provides accurate patient demographic and insurance information and inputs information into patient record. Essential Duties and Responsibilities Review patient care reports thoroughly, utilizing all available documentation in order to establish medical necessity, selection of levels of...

Yeo & Yeo Medical Billing & Consulting Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we...

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:...

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...

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....

A healthcare organization in Sterling Heights is seeking a Senior Medical Records Coder to support Family Medicine Residency programs. In this full-time role, you'll provide coding expertise, analyze patient records, and guide physicians through documentation and billing processes. The ideal candidate will have an Associate’s degree and at least 2 years of coding experience in an acute care setting. Comprehensive benefits and a collaborative environment are offered. #J-18808-Ljbffr