110 coder 1 jobs found

POSITION SUMMARY This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services. ESSENTIAL JOB FUNCTIONS Examines patient care reports to gather essential information for insurance documentation. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service. Allocates charges for services supported by documentation in the patient care...

Coding Specialist The coding specialist, utilizing the clinical documentation management program and clinical knowledge, analyzes inpatient and outpatient medical records for completeness of documentation, contacting the appropriate provider for additional documentation if needed. Accurate diagnosis and procedure codes are then assigned based on the documentation in the medical record, which directly impacts the appropriate DRG assignment for reimbursement. Critical data elements are abstracted by the Coding specialist on all inpatient discharges. This information is used by the organization for decision making. Responsibilities (60%)* Assigns accurate ICD-CM diagnosis and procedure codes and CPT codes in a timely manner for all appropriate encounters and ensures appropriate DRG assignment based on the clinical documentation within the medical record by using CMS and American Hospital Guidelines and following AHIMA code of ethics. (30%)* Utilizes clinical knowledge 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...

Summary **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...

Datavant is looking for an experienced Outpatient Coder to join their fully remote team. This position involves reviewing medical records and assigning accurate codes for diagnoses and procedures. Candidates must have a CCS certification and at least 3+ years of outpatient coding experience. In addition to competitive pay ranging from $20 to $35 per hour, the role offers various benefits including medical, dental, and vision options, alongside flexible scheduling. #J-18808-Ljbffr

POSITION SUMMARY This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services. ESSENTIAL JOB FUNCTIONS 1. Examines patient care reports to gather essential information for insurance documentation. 2. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements. 3. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. 4. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details. 5. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service. 6. Allocates charges for services supported by...

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 programs—Corewell Health Troy Beaumont and CHMG East–Grosse Pointe—supporting 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. Job Description 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...

Job Description Job Description Why Professionals Love Theoria Medical At Theoria Medical, accuracy, integrity, and collaboration matter. Our compliance and coding professionals play a critical role in supporting quality patient care while ensuring our clinical and billing practices remain aligned with evolving industry standards and regulations. We believe meaningful work should come with flexibility, support, and opportunities for growth. Our teams are empowered with advanced technology, collaborative leadership, and a mission-driven culture that values expertise and innovation. Build a career where your knowledge drives impact across a growing national healthcare organization. About Theoria Theoria Medical is leading the charge in healthcare innovation and quality of care — offering a unique blend of medical excellence and technological advancement, serving the post-acute sector. Our network includes multispecialty physician services covering skilled nursing...

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. Remote Position Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for...

NeuroPsychiatric Hospitals is seeking a HIM Coder for our Kalamazoo, Michigan location. This role involves coding inpatient medical records using ICD-10-CM and ensuring accurate medical record maintenance. You will join a dedicated team focused on patient-centered care and requirements compliance. The ideal candidate will have a High School Diploma or GED, relevant experience in coding within acute care, and possess an AHIMA or AAPC credential. A competitive benefits package is offered. #J-18808-Ljbffr

NKC Health in Jackson, Michigan is looking for a Non-Certified Coder to join their coding and denial team. The role involves coding procedures, posting charges, and communicating with practice teams efficiently. Candidates should have a high school diploma or GED with at least 2 years of coding and billing experience. Knowledge of CPT and ICD-10 coding is essential. The position offers competitive wages, comprehensive benefits like medical and dental coverage, and paid time off for personal/sick leave. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Summary **Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered.** Travel to provider office location/offices for HCC education as determined by manager Mandatory on-site team meetings in Midland 1 x per month To be part of our organization, every employee should understand and share in the MyMichigan Health Vision, support our Mission, and live our Values. These values include excellence, integrity, teamwork, and accountability - must guide what we do, as individuals and professionals. The HCC Coder, working under the direction of the Clinical Documentation Integrity Manager, utilizes coding expertise to identify areas of opportunity that impacts the quality and the completeness of the medical record documentation. Through prospective, concurrent, and retrospective evaluation of the medical record documentation, the HCC Coder will be responsible for working collaboratively with the clinical...

Non-Certified Coder NKC Health Coding and Denial team is hiring a Non-Certified Coder. This role focuses on coding procedures, posting charges, and communication with practice teams. Benefits Comprehensive benefits (Medical, Dental, Vision, Life, FSA) Employer matched retirement plan Competitive wages Paid time off for personal/vacation/sick Six paid holidays per year Educational assistance Day shift schedules Responsibilities Review procedures, HCPCS, and diagnosis coding for accuracy. Assign proper codes based upon medical record documentation. Work with denials team and central billing office to resolve claims denials and billing issues. Post charges accurately and timely. Work with providers to ensure coding accuracy. Knowledge of risk adjustment processes and coding is a plus. Requirements High school graduate or GED equivalent. Minimum 2 years of experience in physician coding and billing. Knowledge of CPT and ICD‑10 coding and medical terminology....

Job Opportunity Job ID:51909 Positions Location: Lansing, MI Job Description General Purpose of Job: Advanced Description: 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...

Henry Ford Health System is seeking an Outpatient Complex Coder for a full-time remote position. The role involves reviewing, analyzing, and coding diagnostic and procedural information from patient medical records for billing purposes. Candidates must have a high school diploma or equivalent and coding certifications such as RHIT, CPC, or CCS. Two years of coding experience is required. This position offers the opportunity to support medical research projects, ensure compliance with coding guidelines, and improve patient care evaluation. #J-18808-Ljbffr

Memorial Physician Practices is seeking a Coder to join our team in Ishpeming Township, Michigan. The role involves assigning accurate ICD and CPT/HCPCS codes, interpreting physician documentation, and enhancing coding knowledge. Preferred qualifications include a high school diploma and a Certified Coder license. Our organization values employee well-being and offers comprehensive benefits including medical coverage, career growth opportunities, and wellness programs for a fulfilling work-life balance. #J-18808-Ljbffr

Your experience matters UP Health System-Bell is a part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well‑being so you can provide exceptional care to others. By joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous...

Position Summary: Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures. Essential Functions and Responsibilities as Assigned: 1. Responsible for outpatient coding and charge validation (charge entry) in multiple specialties and EMRs 2. Responsible for coding inpatient encounters (inclusive of < 30 days of LOS and >30 days of LOS, Rehab, Long-term Acute Care) 3. Reviews, identifies, and assigns ICD-10-CM, CPT-4 with charge validation or ICD-10-CM and ICD-10-PCS codes. 4. Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary. 5. Validates CPT -4 codes (charges)...

Medical Biller And Coder For Urgent Care And Er We are seeking a detail-oriented and knowledgeable medical biller and coder for urgent care and er 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...

MyMichigan Health is seeking an HCC Coder in Midland, Michigan. This role requires certifications such as CPC or CCS, and involves collaboration with clinical teams to support the accurate capture of hierarchal condition categories through medical record documentation. Candidates should have a high school diploma, strong communication skills, and experience in the medical field. This position emphasizes quality standards and continuous education within the team dynamics. #J-18808-Ljbffr

NKC Health in Jackson, Michigan is seeking a Certified Coder to join their team. The ideal candidate will review procedures, HCPCS, and diagnosis coding for accuracy. Responsibilities include assigning proper codes based on medical records, resolving claims denials, and ensuring coding accuracy. Applicants must have a high school diploma or GED, current AAPC certification, and at least one year of coding experience. Comprehensive benefits including medical and retirement plans are offered. #J-18808-Ljbffr

Overview Meritas Health has a need for a Certified Coder to join our team. If you’re looking for a great opportunity to serve our community and be part of a growing team, join our Meritas family where there is more for you. NKC Health has a need for a Certified Coder to join our team. If you’re looking for a great opportunity to serve our community and be part of a growing team, join our NKC Health family where there is more for you. Job Responsibilities Review procedures, HCPCS, and diagnosis coding for accuracy. Assigns proper codes based upon medical record documentation. Work with denials team and central billing office to resolve claims denials and billing issues. Post charges accurately and timely. Work with providers to ensure coding accuracy. Knowledge of risk adjustment processes and coding is a plus, but not required. Qualifications High school graduate or GED equivalent Must possess a current AAPC certification Minimum 1 year of experience in physician coding and...

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. We're looking for experienced and credentialed outpatient 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 terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...