69 clinical coder coding jobs found

Job Posting Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. Candidate must have Denials experience 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...

Medical Coder 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 provide the venue for individuals who have the desire and...

Medical Billing Specialist Mary Free Bed Summary 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...

Professional Office Coder Full time Day Shift Highlights: Full-time role in a fast-paced professional central billing environment. Remote position The Professional Office coder will review all assigned charge review errors and claim edits, ensuring correct charge capture and coding with proper ICD-10, CPT, HCPCS 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, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing data entry to capture charges not submitted by provider and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as...

Coding Specialist Assigns ICD diagnosis and CPT procedure codes to assigned Outpatient work types. Employment Type: Full Time Weekly Scheduled Hours: Mon-Fri 7am-3:30pm Wage Range: $21.14-$31.70 Requirements: - High school diploma/GED, or higher education - Registered Health Info Tech (R-RHIT) required Preferred Requirements: - Registered Health Info Admin (R-RHIA) - Certified Coding Specialist (C-CCS) Coding: Based on clinical documentation, computerized encoding, accepted coding classification principals, and reference material, efficiently and accurately assigns appropriate ICD diagnosis codes CPT procedure codes and modifiers on assigned chart types. Verifies accuracy of completed fields. Maintains credentials and ongoing education in order to apply current policies and principals for accurate coding. Assigns appropriate ICD codes. Assigns appropriate CPT codes. Assigns appropriate Modifiers on APC accounts. Searches chart documentation for appropriate code...

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 and...

Professional Surgical 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. Remote position Day shift hours Competitive compensation,...

Professional Surgical 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. Remote Position Summary: Responsible for charge capture process...

Business (Non-Clinical) Remote Position 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. Principle Duties and Responsibilities: Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient's...

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

Business (Non-Clinical) 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: 1. Identifies all diagnostic and operative procedures and other pertinent patient stay data for Henry Ford Health System databases by...

JOB SUMMARY Under the direct supervision of Professional Coding and CDI Manager, The Professional Coder provides timely and accurate clinical and administration data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care or physician offices to meet organizational needs. This position is responsible for ICD10CM diagnosis, CPT-4 coding and charge entry related to coding, documentation, billing and reimbursement issues. Works as a liaison between centralized billing staff, practice managers and office staff and may be required to meet with the office staff and physicians as needed. This position is responsible for the monitoring the quality of coding and stays current on professional coding changes, compliance issues, billing, documentation, reimbursement and interpretation of coding/documentation rules. Strives for superior performance by consistently providing a product or service to leadership and staff that is...

Remote Inpatient Coder - HIMJOB SUMMARYThe Health Information Management (HIM) Coder impacts Memorial's Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment.Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations.The coding information is used to determine APC's (Ambulatory Payment Classification) for data...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical...

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....

Certified Medical Biller/Coder & Revenue Cycle Manager Submissions from recruiters, staffing agencies, or third-party contractors will not be considered. Overview: Focus Clinic is seeking a full-time Certified Medical Biller/Coder & Credentialing Specialist who is organized, proactive, and mission-driven. This is an in-person role in Wyoming, MI, working Monday-Thursday (32 hours/week). You will serve as the comprehensive revenue cycle manager for a rapidly growing clinic, with duties including coding, billing, patient balance follow-up, and compassionate financial guidance for families. The ideal candidate can confidently manage both insurance-billed and cash-pay services, streamline front-desk processes, and help families understand their out-of-pocket expenses with warmth and clarity. Key Responsibilities: Medical Coding Accurately code services using CPT/ICD-10 (and modifiers as appropriate) across Focus Clinic's multidisciplinary offerings (medical...

Join Datavant, a pioneering data collaboration platform in the healthcare industry. Our mission is to secure, enhance access, and make health data actionable, providing essential data solutions for healthcare providers, health plans, researchers, and life sciences companies. Whether it involves managing patient medical records or advancing AI in healthcare, our dedicated team is actively reshaping the future of healthcare. We are in search of skilled and credentialed outpatient coders to strengthen our team. The ideal candidate should exhibit exceptional attention to detail and have a solid understanding of medical terminology. This fully remote position offers flexible work arrangements while playing a key role in transforming healthcare! Preferred Qualifications: Experience in Cath coding, Endo, Observation coding, and OP Surgery is highly desirable. Familiarity with Cerner/3M is a plus. Key Responsibilities: Review medical records and accurately assign codes for...

Join Datavant, the foremost data collaboration platform in healthcare, dedicated to ensuring health data is secure, accessible, and actionable. Our mission is to provide essential data solutions for healthcare organizations including providers, health plans, researchers, and life sciences companies. Be part of the future of healthcare by enabling advanced data connectivity and transformative change. What We Are Looking For: We are on the hunt for experienced and credentialed inpatient coders to become part of our dynamic team. If you possess a keen eye for detail and a solid understanding of medical terminology, this is your opportunity to make a significant impact while enjoying the flexibility of remote work! Your Responsibilities Include: Assigning diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS. Accurately sequencing and abstracting medical codes from patient records to ensure compliance and uphold quality. Overseeing and auditing the...

General Summary The Coder for Hospital Services, under the direction of the HIM Director, is responsible to accurately and completely code inpatient and outpatient conditions and procedures by reviewing clinical documentation and diagnostic results, as appropriate, to extract data for billing, internal and external reporting, research and regulatory compliance as documented in the ICD-9-CM and/or ICD-10-CM Official Guidelines for Coding and Reporting. Requisition #: req11231 Shift: Days FTE status: 1 On-call: No Weekends: No Requirements RHIT, RHIA, CCS, CCS-P, CPC or other professional HIM coding certificate. Coding software and basic computer software experience. Effective communication and listening skills. Ability to contribute to team efforts. Essential Functions And Responsibilities Code all diagnoses, treatments, and procedures by translating physician and nursing documentation according to the appropriate classification system for the category of patient...

A healthcare provider in Michigan seeks a Professional Coder to manage accurate clinical data and ensure optimal reimbursement for various medical services. Responsibilities include coding patient records under strict compliance with ICD and CPT standards. The successful candidate must have certification in professional coding and demonstrate strong communication skills. This role requires problem-solving abilities, effective teamwork, and an understanding of medical terminology, ensuring all coding meets legal standards. Excellent customer service is essential for this position. #J-18808-Ljbffr

Overview The Professional Coder provides timely and accurate clinical and administrative data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care, or physician offices to meet organizational needs. This position is responsible for ICD10CM diagnosis, CPT‑4 coding, and charge entry related to coding, documentation, billing, and reimbursement issues. Works as a liaison between centralized billing staff, practice managers, and office staff and may be required to meet with office staff and physicians as needed. This position monitors the quality of coding and stays current on professional coding changes, compliance issues, billing, documentation, reimbursement, and interpretation of coding/documentation rules. Primary patient contact is only social. He/she demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision,...

Job Summary Under the direct supervision of Professional Coding and CDI Manager, the Professional Coder provides timely and accurate clinical and administrative data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care, or physician offices to meet organizational needs. This position is responsible for ICD-10-CM diagnosis, CPT-4 coding, and charge entry related to coding, documentation, billing, and reimbursement issues. Works as a liaison between centralized billing staff, practice managers, and office staff and may be required to meet with office staff and physicians as needed. This position is responsible for monitoring the quality of coding and staying current on professional coding changes, compliance issues, billing, documentation, reimbursement, and interpretation of coding/documentation rules. Strives for superior performance by consistently providing a product or service to leadership and staff that is...

A healthcare provider is seeking a Professional Coder to provide accurate clinical and administrative coding for services in various care settings. Responsibilities include ICD-10-CM and CPT coding, maintaining coding accuracy, and effective communication with healthcare providers. This position requires certification and a high school diploma, with an associate’s degree preferred. The role is remote after training and emphasizes patient confidentiality and coding standards adherence. Candidates should have strong problem-solving skills and the ability to work within a dynamic environment. #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...