25 cpc certified professional coder jobs found in Livonia, MI

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: 1. Knows, understands, incorporates,...

Employment Type: Full time Shift: Description: POSITION PURPOSE Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in Complex Outpatient (CO)/Ambulatory Surgery health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Assigns appropriate Ambulatory Procedure Classification (APC) codes, required modifiers, NCCI and LCD/NCD edits. 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 and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes. Uses encoder software and coding abstracting system edit features to resolve edits prior to completing coding. Interprets, researches and resolves claim edits that occur after...

Employment Type: Full time Shift: Day Shift Description: The Remote Coding Specialist I - Ancillary Coding & Claim Edits is responsible for coding outpatient facility clinic and diagnostic healthcare records (lab, radiology, cardiology, bone density etc., and series which includes PT/OT/SP, infusion, radiation and wound care) by assigning the appropriate ICD-10-CM classification for valid diagnoses and validating CPT codes for procedures. This position also is responsible for Claim Edits and will review and respond to NCCI, OCE, LCD & NCD edits during the coding process. The Remote Coder I - Ancillary Coding & Claim Edits is responsible for coding outpatient diagnostic (lab, radiology, cardiology, bone density etc., facility clinic and series which includes (PT/OT/SP, infusion, radiation, wound care) healthcare records by assigning the appropriate ICD-10-CM classification for valid diagnoses and validating CPT codes for procedures. This position also is...

Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a medical coder on our team, you'll play a vital role ensuring our claims process runs smoothly and efficiently for our customers. Attention to detail is invaluable as you review and enter medical billing information, ensure billing codes correspond with and support medical records, and apply applicable fee schedules and coding rules while making appropriate adjustments. The ideal candidate will have strong customer service and interpersonal skills - which you'll rely on while assisting medical representatives with coding questions and answering calls from customers, providers, billing offices and attorneys. This is a hybrid role. You'll be expected to report to report to the office two days per week for important meetings, training, and collaboration and will have the benefit of continued...

Shift: Days 8:30AM - 5:00 PM Certified coder for busy multispecialty surgical practice, experience in general surgery or neurosurgery coding preferred. GENERAL SUMMARY: Applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: Abstracts pertinent information from patient records. Assigns the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments. Obtains acceptable productivity/quality rates as defined per coding policy. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintains knowledge of and complies with coding guidelines and reimbursement reporting...

Shift: Part Time/24 hrs. per week. Days 8:30AM - 5:00 PM. No weekends. Certified coder for busy multispecialty surgical practice, experience in general surgery or neurosurgery coding preferred. GENERAL SUMMARY: Applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: Abstracts pertinent information from patient records. Assigns the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments. Obtains acceptable productivity/quality rates as defined per coding policy. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintains knowledge of and complies with coding...

Job Description Job Description Duties: 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. Requirements: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding. CCS, CCS-P, CPC, or COC certification required. Minimum of two (2) years\'\' experience coding outpatient medical records using ICD-10-CM, ICD-10-PCS, CPT-4 and E&M classification systems required. Proficient with ICD-10-PCS coding. Licensure: Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required. Skills: Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA - Required Education: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding - Required

Shift: Days 8:30AM - 5:00 PM Certified coder for busy multispecialty surgical practice, experience in general surgery or neurosurgery coding preferred. GENERAL SUMMARY: Applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: Abstracts pertinent information from patient records. Assigns the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments. Obtains acceptable productivity/quality rates as defined per coding policy. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintains knowledge of and complies with coding guidelines and reimbursement reporting requirements....

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...

Job Description This is a hybrid position with in-person work required in Detroit, MI. The Orthopedic Coder works independently on a daily basis responsible for the abstracting and coding of medical records and assigning codes with a high degree of accuracy. Responsibilities Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources. Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement. Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner. Reviews medical records and physician documentation to code patient charges Assists...

Who We Are As the largest and most comprehensive orthopaedic team in the state, we've combined the medical expertise of the state's finest orthopaedic and musculoskeletal surgeons, specialists, and research pioneers. And along the continuum of care, every provider we work with feels a compelling commitment to leadership in education, innovation and research, as well as a dedication and desire to put each patient first. Why Join Us? Interested in orthopaedics? See why it's worth it. Our career opportunities come with competitive salaries, outstanding benefits and a platform to do the work you love. And as the largest and most comprehensive orthopaedic team in Michigan, we're looking for skilled and enthusiastic individuals to apply today. Position Summary The Certified Coder will be responsible for accurately reviewing, coding, and abstracting clinical information from medical records for orthopaedic services. This role ensures that coding and documentation meet all regulatory...

Please do not apply unless you have at least 10 years of experience in Neurosurgery billing and coding. Let's be respectful of each other's time-thank you! Job Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Neurosurgery Clinic 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...

We are a third-party, multi-specialty physician medical billing company seeking a detail-oriented Medical Biller with expertise in surgical coding to join our growing team. The ideal candidate is experienced, self-motivated, and possesses strong communication and analytical skills. A CPC certification is desired. Key Responsibilities: ·         Prepare, review, and submit accurate medical claims to insurance companies and patients. ·         Follow up on unpaid claims, resolve denials, and ensure timely reimbursement. ·         Communicate effectively with patients and providers to resolve billing inquiries. ·         Process patient payments and manage account balances. ·         Review and document unpaid balances for physician office review. ·         Review and prepare patient over-payments for refunds. Qualifications: ·         Prior experience in medical billing with a focus on surgical billing. ·         CPC...

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...

This position is geared toward verification of transport and patient data as well as compliant coding and billing with appropriate payer claims specifications and accompanying documentation. This position performs demographic and medical coverage ver Coder, Ambulance, Certified, Billing, Data Entry, Technology, Healthcare, Patient

Job Description: Work onsite in the office once a week; this could potentially change Responsible for reviewing and researching new code changes that are released by the Coding Authorities (AMA, Client) for system implementation for PPO and HMO Commercial Business. Required Skills: Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books RHIT or RHIA Certification Required Ability to analyze, investigate and organize ideas in defining and formulating solutions Proficient in current industry standard PC applications and systems (e.g. Word, Excel and MS Office) Ability to work independently, within a team environment and handle multiple priorities Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books RHIT or RHIA with specialty certification of CCS, CCS-P preferred Works collaboratively with Physicians and other team members Knowledge of PPO and HMO claim systems and benefits a plus. EEO Employer LanceSoft...

Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver more-from better patient outcomes to operational efficiencies and greater revenue capture. Our business exists to help save more lives through data-driven innovation and interoperability, opening new pathways for our customers to achieve the highest levels of care, collaboration, and reimbursement. Job Summary: This position is geared toward verification of transport and patient data as well as compliant coding and billing with...

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 5 years coding experience One to two (1-2) years college or additional...

Busy Vascular Surgery Practice looking for a CPC, vascular/surgical coder. The candidate would receive a packet weekly. to code for E/M, progress notes, and surgical billing. Knowledge of the proper application of modifiers is important to this position. EMR access will be granted. Candidate will work with the team to develop a work flow and be trained into our environment. Training and support will be provided. This is a production-oriented position with compensation being made as a contractor. (You'll receive a 1099)

Job Summary 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 basis, provides the Coding Manager with departmental statistics such as the monitoring/tracking of Inpatient coder productivity and uncoded figures. Works with the Coding Manager and Coding Educator to identify and resolve coding issues. Serves as the primary contact for outside departments for Inpatient coding related questions. Reports to the Director of Medical Records and the Coding Manager a list of aged accounts. Follow-up with the Medical Records Staff and/or Physician as necessary to obtain required documentation to code all accounts in a timely manner. Provides coding support as directed by the Coding Manager. Essential Functions Provides technical coding support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the...

Position Summary: Responsible for reviewing outpatient medical records for proper coding assignment. Position Specifications: _ Background in laboratory billing with a focus on Pathology_ Hybrid/Remote Position Essential Functions and Responsibilities as Assigned: Accurately assigns codes (CPT-4 and HCPCS) to outpatient medical records based on documentation in the medical record. Accurately verifies, modifies, and abstracts patient data to meet the requirements of data integrity and organization specific protocols and requirements. Understands the coding and classification system(s) revision cycle (ICD-10-CM and MSDRG annually) and takes the initiative to understand coding and classification system changes that impact coding, compliance, and reimbursement requirements. Utilizes the multiple electronic and hard copy resources available to assist in understanding and accurately assigning coding and classification codes. Works closely with the providers to identify the...

Position Summary: Responsible for reviewing outpatient medical records for proper coding assignment. Position Specifications: *Background in laboratory billing with a focus on Pathology *Hybrid/Remote Position Essential Functions and Responsibilities as Assigned: 1. Accurately assigns codes (CPT-4 and HCPCS) to outpatient medical records based on documentation in the medical record. 2. Accurately verifies, modifies, and abstracts patient data to meet the requirements of data integrity and organization specific protocols and requirements. 3. Understands the coding and classification system(s) revision cycle (ICD-10-CM and MSDRG annually) and takes the initiative to understand coding and classification system changes that impact coding, compliance, and reimbursement requirements. 4. Utilizes the multiple electronic and hard copy resources available to assist in understanding and accurately assigning coding and classification codes. 5. Works closely with the providers to...

Responsible for working with physicians, coders, ancillary department staff, Clinical Documentation Improvement (CDI), and other allied health professionals to improve documentation of patient care and appropriately assign codes and / or determine charges to support those services. Essential Functions and Responsibilities As Assigned : Responsible for completing quality assurance audits on professional coding specialists, onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines, and relevant federal and other pertinent materials. Optimizes prospective payment reimbursement and facilitates data quality by creating consistency and efficiency in physician documentation, code assignment, data collection, and claims processing. Performs retrospective, random, and focused audits of coding cases to ensure correct coding, legal compliance, and complete...

DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physician’s statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other...