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29 cpc certified professional coder jobs found in Southfield, MI

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cpc certified professional coder Southfield, MI
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Professional Billing LLC
Full Time
 
Ophthalmology Billing Specialist (AAPC Certified)
Professional Billing LLC Hybrid (Plymouth, MI, USA)
Job Summary: The Ophthalmology Billing Specialist plays a key role in managing the full revenue cycle process for eye care providers. The ideal candidate has a strong background in medical billing with AAPC certification (CPB, CPC, or equivalent) and a specific understanding of ophthalmology-related procedures, modifiers, payer policies, and coding guidelines. Key Responsibilities: • Submit accurate and timely ophthalmology claims to Medicare, Medicaid, and commercial payers via electronic and paper submission. • Apply appropriate coding (CPT, ICD-10, HCPCS) for ophthalmology services, including office visits, diagnostic testing (OCT, visual fields, fundus photography), minor and major surgical procedures (e.g., cataract surgery, laser procedures). • Utilize ophthalmology-specific modifiers (e.g., -RT/-LT, -51, -25, -59, -24, -78, -79) accurately. • Review and correct claim denials or rejections; follow up with insurance companies to resolve unpaid claims. • Post insurance...

Apr 18, 2025
TH
Orthopedic Coder Hybrid in Detroit MI
Tenet Health Southfield, MI, USA
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...

Jun 15, 2025
HA
Certified Home Health Coder & QA Specialist
Hope At Home Health Care Southfield, MI, USA
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...

Jun 15, 2025
MO
Certified Coder
Michigan Orthopaedic Surgeons Southfield, MI, USA
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...

May 29, 2025
MA
Medical Biller & Coder - Neurosurgery (Senior-Expert lvl, 10+ Yrs Exp Required)
Max AI, Inc. Royal Oak, MI, USA
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...

Jun 15, 2025
NM
Full Time Part Time
 
Medical Billing Specialist/ Manger
National Multiple Services Royal Oak, MI, USA
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...

Jun 12, 2025
AT
Outpatient Professional Coder
Apidel Technologies Farmington Hills, MI, USA
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

Jun 15, 2025
HF
Medical Coder - Full Time - Days - Farmington Hills
Henry Ford Health System Farmington Hills, MI, USA
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....

Jun 11, 2025
HF
Medical Coder - Full Time - Days - Farmington Hills
Henry Ford Health System Farmington, MI, USA
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...

Jun 15, 2025
HF
IT Services - Coder
Henry Ford Health System - 30055 Northwestern Farmington, MI, USA
Details Client Name Henry Ford Health System - 30055 Northwestern Job Type Travel Offering Non-Clinical Profession IT Services Specialty Coder Job ID 16499318 Job Title IT Services - Coder Weekly Pay $954.4 Shift Details Shift 5x8 Days - Please verify shift details with recruiter Scheduled Hours 40 Job Order Details Start Date 06/30/2025 End Date 09/26/2025 Duration 13 Week(s) Job Description Genie Healthcare is looking for a IT Services to work in Coder for a 12.57 weeks travel assignment located in Farmington Hills, MI for the Shift (5x8 Days - Please verify shift details with recruiter, 07:00:00-15:00:00, 8.00-5). Pay and benefits packages are estimated based on client bill rate at time the job was posted. These rates are subject to change. Exact pay and benefits vary based on several things, including, but not limited to, guaranteed hours, client changes in bill rate, experience, etc. Benefits: Medical Insurance, Dental Insurance, Vision Insurance, 401(k) with company...

Jun 14, 2025
HF
Medical Coder - Part Time 24 hrs/week - Days -Farmington Hills
Henry Ford Health System Farmington, MI, USA
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...

Jun 11, 2025
TH
Coder IV, Inpatient (Remote)
Trinity Health Corporation Livonia, MI, USA
Employment Type:Full time. Shift:Day 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 diagn Patient, Coder, Clinical, Remote, Healthcare, Hospital

Jun 15, 2025
TH
REMOTE Coder III - Complex Outpatient, Ambulatory Surgery, Claim Edits (Remote)
Trinity Health Livonia, MI, USA
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...

Jun 15, 2025
TH
Coder I - Ancillary & Claim Edits (Remote)
Trinity Health Corporation Livonia, MI, USA
Reviews the Electronic Health Record to determine Principal diagnoses, Secondary diagnoses and significant procedures to assign appropriate ICD & CPT codes for data retrieval, research and reimbursement purposes. Uses 3 M electronic encoder and elect Coder, Remote, Health, Healthcare, Skills

Jun 15, 2025
TH
Coder I - Ancillary & Claim Edits (Remote)
Trinity Health Livonia, MI, USA
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...

Jun 15, 2025
TH
Coder IV Inpatient, Remote
Trinity Health Livonia, MI, USA
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,...

Jun 15, 2025
HF
Outpatient Complex Coder/Full Time/Remote
Henry Ford Health System Troy, MI, USA
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...

Jun 15, 2025
SH
Medical Records Coder Sr
Spectrum Health System Sterling Heights, MI, USA
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 depart Medical, Records, Coder, Technical Support, Manager, Health, Healthcare

Jun 10, 2025
HF
Outpatient Complex Coder/Full Time/Remote
Henry Ford Health System Detroit, MI, USA
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 years coding experience. One to two (1-2) years college or...

Jun 15, 2025
LS
Medical Coder
LanceSoft Detroit, MI, USA
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...

Jun 15, 2025
ZR
CAC - Certified Ambulance Coder
ZOLL Resuscitation Detroit, MI, USA
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...

Jun 15, 2025
HF
Outpatient Complex Coder/Full Time/Remote
Henry Ford Health System Detroit, MI, USA
GENERAL SUMMARY: 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. 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 (1-2)...

Jun 14, 2025
PC
Medical Coder
Progressive Casualty Insurance Company Plymouth, MI, USA
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...

Jun 01, 2025
CM
Medical Coder and Biller
CoreMed Plus White Lake charter Township, MI, USA
Job Description Job Description Are you ready to elevate your career in medical billing and coding? CoreMed Plus is on the lookout for a detail-driven and innovative Medical Coder and Biller to join our vibrant team full-time in White Lake, MI. This is a full-time in-office position. You MUST be able to work in our White Lake, MI office. Enjoy a starting pay of $25 per hour and fantastic benefits , including: Dental, health, and vision coverage Accrued PTO 6 paid holidays Great management team and healthy work environment Evaluation after a probation period Immerse yourself in a dynamic, collaborative environment where your skills will shine and contribute to our mission of transforming primary care. ABOUT US CoreMed Plus is a top provider of comprehensive primary care and innovative family health solutions, using state-of-the-art equipment to provide quality treatment to our patients. We can handle a diverse range of healthcare needs, and we're committed...

Jun 15, 2025
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