29 cpc certified professional coder jobs found in Lansing, MI

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy, reviews medical records, and confirms compliance with state and federal requirements. Strong documentation and communication skills are essential for presenting findings to investigators and leadership. You will audit CPT/HCPCS coding, identify potential fraud or errors, and maintain thorough records. #J-18808-Ljbffr

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:...

Munson Healthcare Careers is seeking a remote Coder Abstractor to manage charge capture processes and ensure coding accuracy. Candidates should have two years of coding experience, preferably in Pulmonary coding, and must obtain relevant coding credentials. The role includes training new staff, ensuring compliance, and reviewing physician documentation for accurate billing codes. Generous benefits include tuition reimbursement, PTO, and wellness support. #J-18808-Ljbffr

A healthcare data platform company is seeking experienced inpatient coders to join their remote team. Ideal candidates need a minimum of 3 years of coding experience and strong medical terminology knowledge. Responsibilities include assigning diagnostic codes and ensuring high accuracy. The position also offers flexible scheduling and comprehensive benefits including health insurance and educational stipends. #J-18808-Ljbffr

Munson Healthcare is seeking a Coder Abstractor to manage the charge capture process, ensuring coding accuracy and compliance. This fully remote role requires at least two years of experience in cardiology coding along with either an associate’s degree in a healthcare-related field or equivalent professional experience. Candidates must obtain a professional coding credential within 18 months. Eligible for a sign-on bonus of $5,000. Vaccination requirements apply. #J-18808-Ljbffr

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. 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 terminology. This role is fully remote with a flexible schedule, allowing...

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...

Munson Healthcare in northern Michigan seeks a Coder Abstractor to manage charge capture for professional services across the system. You will verify records, assign CPT/HCPCS codes, and ensure charges are entered accurately and timely. Responsibilities include reviewing documentation, serving as a coding resource, and maintaining 95% accuracy. This is a fully remote opportunity with a focus on efficient collaboration with the Central Billing Office. #J-18808-Ljbffr

Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings. Job Description A Day in the Life Analyzes each medical record to determine which items will be coded and abstracted. Accurately codes and abstracts inpatient medical records, per work assignment, meeting expected productivity standards. Assigns ICD10-CM diagnosis and ICD10-PCS procedure codes per established national, departmental guidelines and AHIMA Code of Ethics. Communicates with Clinical Documentation Integrity Specialists to request clarification and/or additional record information...

Job Posting Job Information Job Opening ID 9550 Date Opened 05/07/2024 Job Type Contract Language Skills English Location Lansing Industry Health Care Salary 49/hr Remote Job Job Description This is a remote position. Job Details: - Assign diagnosis and procedure codes to reflect the condition(s) and treatment provided to the patient based on the documentation within the record for both inpatient and outpatient stays. The code assignment is utilized to determine reimbursement for the facility and physician, quality measures, hospital statistics, and medical research. Skills and Experience REQ: - Knowledge of the contents of the medical record - Demonstrates working knowledge of ICD-10-CM, ICD-10 PCS and CPT 4. Passing Score of 80% or higher on the coding test to be considered. - Working knowledge of Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) - Previous outpatient and/or inpatient coding experience 1 year minimum - Must be a member of...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes . Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines .  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.   Job Responsibilities: Quality Review - Monitors and audits inpatient...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

AMN Healthcare is seeking an Outpatient Medical Coder to provide timely and accurate coding for outpatient, ambulatory surgery, observation, and rehab accounts, applying ICD-10-CM, CPT-4, APCs, and NCCI edits to support reimbursement and compliance. The candidate should hold RHIA/RHIT/CCS, have an associate or bachelor’s degree (or be exam-eligible), and show strong communication and organizational skills; work is Mon-Fri, 40 hours/week with benefits and opportunities to assist with denials, #J-18808-Ljbffr

Job Description & Requirements Outpatient Medical Coder StartDate: 8/16/2026 Pay Rate: $28.00 - $35.00 Position Summary The HIM Coding Specialist Outpatient provides timely and accurate coding for outpatient, ambulatory surgery, observation, recurring, rehab, and skilled care accounts to support optimal reimbursement and regulatory compliance. This role applies ICD-10-CM, CPT-4, APC assignment, NCCI edits, modifiers, and coding guidelines while maintaining quality, productivity, and turnaround standards. Position Duties Code outpatient, ambulatory surgery, observation, and recurring accounts Apply ICD-10-CM, CPT-4, APC assignment, NCCI edits, and modifiers Review clinical documentation for coding accuracy and completeness Maintain coding work queues and productivity standards Assist with coding denials, appeals, audits, and reimbursement issues Participate in coding quality reviews Train and mentor new coding staff as needed Support AR reduction initiatives Maintain...

Munson Healthcare is seeking a Coder Abstractor for a fully remote role in Michigan. You will verify medical records, assign diagnostic and procedural codes, and ensure accurate revenue capture. Collaboration with the central billing team and ongoing education are essential. The ideal candidate holds an Associate’s degree or equivalent coding experience with CPC/RHIT/RHIA credentials (or willingness to obtain them within 18 months). Expect emphasis on accuracy and timely submission of charges. #J-18808-Ljbffr

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...

**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 and...

Employment Type: Full time Shift: Day Shift Description: Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Accesses charge work queues and systems to assign ER and Observation charges if performed by HIM. May also require calculation of Observation hours if performed by HIM. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. Utilizes coding guidelines established by: The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS...

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....

Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings. Job Description A Day In The Life The Coder Abstractor is responsible for charge capture process for professional charges within the Munson system, including but not limited to: verifying and/or analyzing medical record and/or encounter form documentation to determine the principle and all secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS) and Munson; performing...

A leading health organization is seeking a Facility Coding Inpatient Complex Coder. In this remote role, you will review and code inpatient records, ensuring compliance with healthcare coding standards. Candidates should hold a CCS certification and have at least three years of coding experience in an acute care facility. This position offers flexible working hours and full support throughout your career. #J-18808-Ljbffr

Overview Join to apply for the Facility Coding Inpatient Complex Coder role at Banner Health This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY. The hours are flexible as we have remote Coders across the Nation. Generally any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis. A Coding Assessment will be given after a successful interview to be completed within 48 hours. Banner Health provides your equipment when hired. You will be fully supported during initial training by the Banner Coding Education team and your hiring manager, with continued support throughout your career here. Responsibilities Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and...

Description Codes outpatient charts and/or professional charts and abstracts all required data from records according to established procedures; including medical necessity for Medicare charts. Uses ICD-10 CM/PCS/CPT-4/chargemaster to code all diagnoses, operative procedures and physician procedures performed for outpatient procedures. Verifies/changes levels of care provided according to level of care guidelines. Captures all missing records and documentation, i.e. IV start/stop times, etc. Interacts with physicians and physician's offices regarding diagnoses or coding questions. Performs other work as needed to help within the department. Keeps current with coding practices and skills through in-services, seminars, workshops and current literature to increase coding knowledge. Reviews the entire medical record for identification of all documented conditions, diagnoses and procedures. Demonstrates the ability to read physicians handwriting and interpret...

All CDC recommended vaccines are required vaccinations at Oaklawn. Seasonally, and upon determination of Senior leadership, the Influenza Vaccine may be mandatory; in those years, compliance is required. For all vaccines, Religious Exemptions and Medical Contraindications are available. Coder Abstractor - Health Information Services Job Summary: Under limited supervision, codes and abstracts patient records using the appropriate coding/abstracting system. Communicates with Medical Staff and hospital staff to improve the documentation to support the coding process. Essential Functions: Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives. Code outpatient (for example day surgery, observation, emergency room, outpatient service, diagnostic) records using the appropriate coding system for diagnoses (ICD-10) and procedures (CPT & PCS) Maintain coding...