180 jobs found

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...

Hcc Coder 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 team members...

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...

Medical Biller And Coder For Radiology Department We 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...

Supervisor Manages day to day operations, including staffing, technical functions, revenue cycle processes and physician/patient concerns. Maintains established policies, procedures, and objectives that include revenue cycle functions, quality assurance, environmental, and infection control policies. Monitors monthly productivity analysis reports, determining physician procedural utilization patterns, revenue cycle and clinic operations. Responsible for overseeing daily balancing of clinic monies as well as daily deposits. Monitors/audits payments, insurance verification and registration to ensure accuracy. Required: High School Diploma 2 years of related clerical or medical assistant experience. Excellent customer relations skills. Demonstrated independent decision making/problem solving skills. Computer system experience. Demonstrated organizational skills. Demonstrated written and verbal communication skills. Current Michigan driver's license and proof of valid automobile...

Remote Medical Biller Must be located in Genessee County, MI. Our client is a well established, privately owned, multi-specialty billing service working across the US. Fully remote Competitive pay Paid holidays and PTO Amazing 401k! Semi-Flex Schedule Company provides equipment for remote work. As a medical biller, you will be responsible for collecting, posting and managing account payments electronically or by paper. You will be responsible for submitting claims and following up with insurance companies and will prepare, review and send patient statements. Daily and weekly quotas set by management must be maintained. Fully remote- but you must be located in Genessee County. Candidates must have high-speed internet Degree in Medical Billing and/or significant billing experience Knowledge of medical billing/collection processes Knowledge of basic medical coding and third-party operating procedures and practices Must be able to complete 150 claims a day. Equal...

Job Description: The Air Medical Coding Coordinator Codes Air Medical outpatient billing for government and private payers. The Air Medical Coding Coordinator reviews patient transport records and assigns CPT and ICD 10 codes in compliance with payer guidelines. This position completes post-service audits and works with providers and other internal departments to ensure accurate assignment of charges and timely billing for the Emergent, Air Medical Charter and Donor Services programs. This position works with providers, payers, hospital case managers and Medical Transport leadership to approve and collect for the medical transport system. This position completes, daily, weekly and monthly analytics for the Medical Transport Service line. Serves as team experts in working with revenue cycle, finance, and payer contracting to ensure accuracy and expertise in correct reimbursement. Serves as the coding expert and educates internal clinical staff in documentation and appropriate...

Job Title 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. Hours | Schedule: Remote position Day shift hours Highlights and Benefits:...

Shift Supervisor – Assisted Living 1st Shift | Part-Time Holland, MI $22.00–$26.00 per hour Compensation based on credentials and years of experience Health, dental, and vision insurance available as outlined in the Employee Handbook Basic life and AD&D insurance provided at no cost to the employee Flexible Spending Account (FSA) No wage cap Paid Time Off (PTO) based on hours worked and years of service Eligible for a potential pay increase after 90 days based on performance Annual merit increases based on performance evaluations Perfect attendance bonus Paid orientation and training Additional benefits as outlined in the Employee Handbook 1st Shift: 5:30am–6:00pm 12-hour shifts Part-time position available Position Purpose The Medical Supervisor serves as a liaison to ensure resident services are coordinated effectively and aligned with each resident's service plan. This position works closely with the Resident Services Coordinator and Administrator to support...

Big Sky IV Care is seeking a detail-oriented Billing Specialist for a fully remote position. You will play a crucial role in ensuring accurate billing and timely reimbursements. Responsibilities include verifying insurance, submitting claims, and maintaining accurate billing records. Candidates should have a high school diploma, billing/coding certification, and at least one year of experience in medical billing. The company offers competitive benefits, making this a rewarding opportunity for the right individual. #J-18808-Ljbffr

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...

Senior Medical Biller Havenwyck Hospital (a UHS facility) Monday - Friday 8:00am-5:00pm Havenwyck Hospital is a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents and adults. It is the ultimate goal of our dedicated staff to build strength, confidence and knowledge within each patient, in hopes that they may continue learning and understanding their needs and practicing self-care for the rest of their lives. Challenging and rewarding work environment Competitive compensation & generous paid time off Excellent medical, dental, vision and prescription drug plan 401(K) with company match and discounted stock plan Career development opportunities within UHS and its 300+ subsidiaries Free basic life insurance Tuition reimbursement SoFi student loan refinancing program Student loan repayment...

Coding Specialist 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 two...

Job Description Job Description Description: A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Requirements: Key Responsibilities: Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and...

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...

Henry Ford Health is seeking a detailed-oriented medical coder in Detroit, Michigan. This role involves analyzing patient medical records to accurately code diagnostic and procedural information for billing purposes. Candidates must possess a high school diploma or GED, any additional specialty coding certification, and ideally, 1-2 years of experience in relevant fields. The position emphasizes compliance with coding guidelines and regulations. The job offers day shifts in the Radiology department, supporting patient care and research. #J-18808-Ljbffr

Claims (Medical Billing) Specialist Job Category: Operations Requisition Number: CLAIM002262 Posted: May 4, 2026 Full-Time On-site Rate: $18.50 USD per hour Sturgis, MI 49091, USA Description Make a Meaningful Impact Every Day At GT Independence, people are at the heart of everything we do. If you thrive in a collaborative environment, love what you do, and are eager to grow, you're in the right place. Discover a career where your work genuinely improves lives and supports a mission that matters. Our Mission: To help people live a life of their choosing, regardless of age or ability. GT Independence has earned multiple awards for being an exceptional workplace, including being named a 2026 National "Best and Brightest Companies to Work For." We are also proudly certified as a Great Place to Work® for 2026/2027 —a distinction reserved for top employers committed to outstanding employee experiences. The Claims (Medical Billing) Specialist maintains a core...

Job Description Your experience matters UP Health System- Bell is 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. Byjoining 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 A Coder who excels in this role: 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...

Job Title Location 1500 S MAIN, EATON RAPIDS, MI, 48827, United States Employee Type Full Time Hours Per Pay Period Full Time 80 hours per bi-weekly pay Shift Days, Monday-Friday

Remote Ambulance Biller and Coder We are seeking a detail-oriented and experienced Remote Ambulance Biller and Coder to join our team. The ideal candidate will have expertise in medical billing and coding, specifically for ambulance and emergency medical services (EMS). This role involves reviewing patient records, assigning appropriate medical codes, submitting claims to insurance providers, and ensuring compliance with healthcare regulations. Key Responsibilities: Accurately assign ICD-10, CPT, and HCPCS codes to ambulance and EMS services. Prepare and submit insurance claims to Medicare, Medicaid, and private insurance companies. Verify patient insurance information and eligibility. Review documentation for completeness and compliance with regulatory requirements. Follow up on unpaid or denied claims, making necessary corrections and resubmissions. Handle patient billing inquiries and resolve disputes professionally. Maintain up-to-date knowledge of medical billing...

Medical Billing Specialist Administration - Flint, MI 48502 Overview Position Type Full Time Education Level High School 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...

COMPANY INFORMATION: As a federally qualified health center (FQHC) Family Health Center serves all people with quality healthcare, dignity, and respect. We envision a seamless health care delivery system that is proactively responsible for the medical, dental and psychosocial needs of underserved individuals, children and families residing in Kalamazoo County. MISSION: To provide clinical excellence with outstanding patient experience while ensuring that all members of the community have access to quality, comprehensive, patient-centered health care. Full-Time Medical Billing & Coding Specialist POSITION SUMMARY: The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately. DUTIES AND RESPONSIBILITIES: Performs...

Certified Urology Coder This is a remote position. BizTek People is hiring for the role of CERTIFIED UROLOGY CODER for our client in Lansing, Michigan Hospital Billing - Remote Coder CERTIFIED UROLOGY CODER Must have own equipment and urology coding experience Certifications Required GED Certified Professional Coding Certificate (AAPC), current with required continuing education CUC Skills & Experience Required 1 year of diagnostic and procedure coding experience Experience working in a multi-physician practice Working knowledge of CPT and ICD-10-CM Knowledge of computer billing systems, programs, and applications Detailed knowledge of medical records, anatomy, physiology, and disease processes Physician electronic filing experience covering all insurance carriers Job Details Provide procedure and diagnostic coding based on documentation in patient medical records Responsible for coding daily activities to support the revenue cycle process

A healthcare platform company in Ann Arbor, MI, is seeking a detail-oriented Medical Biller. The role involves processing healthcare claims, ensuring compliance with billing standards, and supporting revenue cycle activities. Candidates should have 2-4 years of relevant experience in medical billing, knowledge of billing software, and strong communication skills. This full-time position allows working remotely, enhancing access to quality healthcare services. #J-18808-Ljbffr