9 cpc certified professional coder jobs found in Saginaw, MI

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 provide the venue for individuals who have the desire...

Overview: 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. Primary patient contact is only social. He/she demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards...

Job Description Job Description Join Our Team as a General Coder II! Are you a skilled medical coder looking to advance your career in a supportive and dynamic environment? We are seeking a detail-oriented and dedicated General Coder II to join our organization. This role offers hybrid remote work opportunities, providing flexibility and balance.   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. Participate in data collection, abstraction, and reporting to enhance our processes. Strive to meet established coding production expectations while maintaining accuracy and efficiency....

Join to apply for the INPATIENT CODER role at Covenant HealthCare Continue with Google Continue with Google 2 days ago Be among the first 25 applicants Join to apply for the INPATIENT CODER role at Covenant HealthCare Overview The Health Information Management Coder Inpatient Level 2 provides timely and accurate clinical and administration data to ensure optimal reimbursement for inpatient, rehab and/or skilled nursing coding to support the facility needs. Primary patient contact is only social. Overview The Health Information Management Coder Inpatient Level 2 provides timely and accurate clinical and administration data to ensure optimal reimbursement for inpatient, rehab and/or skilled nursing coding to support the facility needs. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare...

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 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. Utilizes clinical knowledge to interact with the...

Summary The coding specialist utilizes coding skills and clinical knowledge to review medical records. Accurate ICD-10 diagnosis and CPT procedure codes are assigned based on documentation, impacting reimbursement. Queries clinician when needed for clarification of documentation. Responsibilities Assign accurate ICD-CM diagnosis and CPT codes in a timely manner for all appropriate encounters using CMS and American Hospital Guidelines, CPT Assistant and following AHIMA code of ethics. (60%)* Utilize clinical knowledge to interact with physicians/providers regularly to assist in improving documentation within the medical record to accurately reflect severity of illness and level of care provided. (30%)* Demonstrate willingness to participate in continuing education to enhance coding knowledge. (10%)* Meet established productivity guidelines. Other duties as assigned. Demonstrate competency in Microsoft Windows. Participate in further learning opportunities offered by...

We are seeking a detail‑oriented and knowledgeable Medical Biller and Coder for the Dermatology 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. 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 patients. Collaborate with healthcare providers to...

JOB SUMMARY The Health Information Management (HIM) Coder impacts Memorials Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment. Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations. The coding information is used to determine APCs (Ambulatory Payment Classification) for data quantitative analysis, quality...

Responsible for coding all simple and complex hospital inpatient stays (Inpatient Coder IV) or all outpatient patient type records (Outpatient Coder IV). Reviews documentation and properly identifies and assigns ICD-10-CM, CPT/HCPCS and/or 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: Outpatient Coder IV will be responsible for coding and charge validation (charge entry) of all patient types. Resolves CCI/NCCI Edits and Denials, inclusive of review and resolution of pre-bill and post-bill edits, including review of denials and writing appeal letters. Trains and on-boards outpatient coders. Responsible for coding all inpatient visits: Simple inpatient visits. Complex inpatient visits (inclusive of over 30 days of LOS). Work coding denials and write coding appeals. Attends Clinical Validation...