108 coder professional jobs found

Health Information Management Professional Contributes to organizational success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients and other staff members of departments encountered. Adhere to coding rules for coding professional services for multiple specialties (such; neurosurgery, pediatric surgery, rehab, orthopedic, cardiology, etc.), urgent care, occupational health, family practice and other to ensure quality coding based upon documentation within the patient record. Follows policies, procedures and guidelines to assure consistent coding quality. At the same time utilizes analytical skills when reviewing charts, interpreting documentation and applying codes, sufficing edits, etc. Assures coding is completed timely and all work queues are maintained at a reasonable completion rate/turnaround timeframe. This includes the willingness to help others,...

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...

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 recognized...

Job Title Professional Coder II - Professional Billing - Revenue Integrity Job Summary Medical Coder-Outpatient is responsible for reviewing and coding outpatient medical records and documentation for healthcare services rendered. This role ensures that all diagnoses, procedures, and services provided in an outpatient setting are accurately coded using standardized coding systems (ICD‑10, CPT, HCPCS). The coder will ensure compliance with insurance requirements, governmental regulations, and industry standards to facilitate correct reimbursement and support the accurate billing process. Responsibilities Review outpatient medical records to assign appropriate ICD‑10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with regulations, payer policies, and guidelines. Work with billing teams to prepare and submit claims, resolving any coding‑related denials. Collaborate with healthcare providers to clarify documentation and ensure proper code assignment. Stay current on...

3 days ago Be among the first 25 applicants Description 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. Employment Type Full time Shift Day...

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.Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.Must...

Overview 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. HCC Coder position summary: The HCC Coder, working under the direction of the Clinical Documentation Integrity Manager, utilizes coding expertise to identify areas of opportunity that impact the quality and 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 team members to support the capture of Hierarchical Condition Categories (HCCs) and ICD-10-CM specificity of ambulatory visits. The HCC Coder utilizes knowledge of coding guidelines, coding/billing compliant practices, HCCs, and clinical knowledge to identify...

Job Description Job Description Join Our Team as a General Coder! Are you a medical coder looking to advance your career in a supportive and dynamic environment? We are seeking a detail-oriented and dedicated General Coder to join our organization. This role offers hybrid remote work opportunities, providing flexibility and balance. INCENTIVES & GROWTH OPPORTUNITIES * $1,500 sign-on bonus (paid in two installments) * Consistent Monday Friday schedule-no weekends or holidays * Strong team culture and supportive leadership What You’ll Do Review patient documents and accurately assign CPT, CPT Category II, ICD-10-CM codes, and quality reporting measures like HEDIS. Verify records for billing, reimbursement, and regulatory compliance, while effectively communicating with providers to ensure accurate documentation. Serve as a valuable resource for resolving insurance denials and answering coding-related questions from A/R management, residents, and providers....

REMOTE position Submission Requirements AAPC certificate required; MUST be CPC, CPC-H and/or COC Proficiency in AT LEAST 3 of the following: Specialty Clinics ( Med Spec Inject, Anticoag Management, Nutrition/Oncology Nutrition, Newborn/Lactation, OP Orthotic Prosth, Urology, Apheresis, Cardiac Rehab, General Surgery, Int Pain Healing, Non Inv Cardiology, Outpatient General Surgery, Proctology, Plastic Surgery, Endocrine, Benign Gyn, Infectious Disease, Neurosurgery, Oral & Facial Surgery, Ortho Total Joint, RAD CT, RAD MRI, RAD MRI, Trauma, Amputation Clinic, Burn Clinic, Dermatology, Endocrine Surgery, ENT Clinic, GI and Liver Disease, Gyn Dysplasia, Internal Medicine, Mineral Metabolism, Ortho Foot & Ankle, Pain, Burn Outpatient, Hand Surgery, Cardiology, Comprehensive Wound, Neurology, Pulmonology Clinic, Rheumatology, Eye Clinic, Access Clinic) must be able to handle HIGH Volume of cases Evaluation Management experience required Hospital experience strongly desired due...

Job Opportunity Positions Location: Lansing, MI Job Description 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. Essential Duties This...

Job Description 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...

Job Opportunity Positions Location: Lansing, MI Job Description General Purpose of Job: Extract and analyze clinical information and translate into the most accurate ICD-10-CM, CPT, and other specialized codes and modifiers to ensure appropriate reimbursement and accurate and reliable data for research, statistics, financial planning, compliance, and marketing. Make corrections to coding edits and charges. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine – Sparrow policies and procedures and maintains required quality and productivity standards. Essential Duties: This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position. Extracts, reviews, and analyzes clinical information, identifies and abstracts all pertinent information...

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...

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...

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...

Inpatient Coder - CPC Employer: Trinity Health Employment Type: Full time Shift: Day Shift Location: Remote Responsibilities Review all assigned charge review errors and claim edits for hospital-based services, including surgical procedures, ensuring correct charge capture and coding with CPT, HCPCS and ICD-10 codes and proper modifiers in accordance with local policies. Analyze medical documentation to verify primary and secondary diagnoses and procedures, assign diagnostic and procedural codes using CMS guidelines. Perform charge entry and discrepancy resolution, serving as liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assisting in orienting and training new employees in the coding and charge capture area and cross‑training established coders in new specialties. Qualifications Associate’s degree in an allied health field or equivalent education and experience. Certified Coding Specialist credential. One to...

# Risk Adjustment Compliance Coder### Job summaryMarquetteMedical Coding### Work modelHybrid · 3 days home2 days agoJob descriptionDATE: June 4, 2026## POSITION: Risk Adjustment Compliance Coder## DEPARTMENT: Finance-Risk Adjustment## RATE: $28.86 per hour, with potential for additional compensation based on qualifications.## POSITION SUMMARYThe Risk Adjustment Compliance Coder is responsible for enhancing the accuracy, quality, and integrity of coding data that supports Medicare and Medicaid reimbursement. This role conducts risk adjustment coding audits, performs compliance research, responds to coding inquiries, and serves as a subject matter expert in risk adjustment coding and compliance. The position supports Medicare and Medicaid risk adjustment programs through the development, implementation, and ongoing evaluation of program initiatives. Highly collaborative and operational in nature, this role partners closely with providers and internal stakeholders and requires strong...

DATE: June 4, 2026 POSITION: Risk Adjustment Compliance Coder DEPARTMENT: Finance-Risk Adjustment RATE: $28.86 per hour, with potential for additional compensation based on qualifications. POSITION SUMMARY: The Risk Adjustment Compliance Coder is responsible for enhancing the accuracy, quality, and integrity of coding data that supports Medicare and Medicaid reimbursement. This role conducts risk adjustment coding audits, performs compliance research, responds to coding inquiries, and serves as a subject matter expert in risk adjustment coding and compliance. The position supports Medicare and Medicaid risk adjustment programs through the development, implementation, and ongoing evaluation of program initiatives. Highly collaborative and operational in nature, this role partners closely with providers and internal stakeholders and requires strong communication, education, and relationship-management skills. This is not a traditional production-focused coding position. ESSENTIAL...

Summary 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 (25%) Codes visits and services performed in both the office and hospital setting within 48 hours of receipt. (25%) Uses the Epic...

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...

MyMichigan Medical Group is seeking a coder to handle surgical services in both office and hospital settings. The role involves ensuring compliance with payer guidelines and maximizing reimbursements. Candidates should have extensive knowledge of CPT and ICD coding. The position requires two years of coding experience, strong analytical skills, and the ability to work independently. This role is crucial in optimizing clinic operations and enhancing documentation processes. #J-18808-Ljbffr

Summary Here at NKC Health our mission is to empower hope and healing in every life we touch. Whether you are serving patients at a primary care clinic, specialty clinic, or in a support capacity, every team member works together to complete this mission. NKC Health Coding and Denial team is hiring a Non-Certified Coder! If you’re looking for a great opportunity to impact our communities, join our NKC Health team! Why NKC Health Medical Group? 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 What does a Non-Certified Coder do? As part of the coding team, you will have the opportunity to focus solely on coding processes. Your daily mission would be to review medical records for the correct ICD/CPT codes, posting charges, and having meaningful communication with the practice team. What does a typical day...

NKC Health is seeking a Certified Coder to join our team in Jackson, Michigan. This role focuses on reviewing medical records for accurate ICD/CPT codes and engaging with the practice team to resolve any issues. Applicants should have a current AAPC certification and at least one year of experience in physician coding. Comprehensive benefits and a supportive work environment are part of the offer. #J-18808-Ljbffr

NKC Health in Jackson, Michigan, seeks a Non-Certified Coder to join their Coding and Denial team. The role involves reviewing medical records for accurate coding and collaborating with healthcare providers and billing teams. Applicants should be high school graduates with at least 2 years of experience in coding and billing, and knowledge of CPT and ICD-10. NKC Health offers competitive wages, comprehensive benefits, and a supportive work environment. #J-18808-Ljbffr