35 cpc certified professional coder jobs found in Village of Clarkston, MI

Job Description Job Description The Mental Health Practice Biller is responsible for ensuring accurate and timely billing of patient services, insurance claims, and patient account management for a mental health practice. This role requires strong attention to detail, knowledge of mental health billing and insurance guidelines, and excellent communication skills to work with patients, providers, and payers. Duties/Responsibilities Prepare, review, and submit insurance claims (electronic and paper) for mental health services. Verify insurance eligibility, benefits, and coverage for mental health and behavioral health services. Ensure accurate coding of procedures, diagnoses, and modifiers (knowledge of CPT and ICD-10 codes specific to mental health required). Review clinical documentation to confirm compliance with payer requirements. Follow up on unpaid or denied claims, appealing as necessary. Post payments from insurance companies and patients to accounts. Reconcile...

Job Description Job Description The Podiatry Biller is responsible for accurately billing and coding podiatric medical services, submitting insurance claims, and managing patient accounts. This role ensures compliance with insurance and regulatory requirements while maintaining timely reimbursement and clear patient communication. Key Responsibilities Review provider documentation and accurately assign CPT, ICD-10, and HCPCS codes for podiatry services. Verify patient insurance eligibility and podiatry-specific coverage (including routine vs. medically necessary foot care). Prepare, submit, and track electronic and paper insurance claims. Post payments, adjustments, and denials from insurance companies and patients. Follow up on unpaid or denied claims, including appeals and resubmissions. Generate and mail patient statements; work with patients regarding outstanding balances or payment plans. Stay current with podiatry billing rules, including Medicare, Medicaid, and...

Job Description Job Description The Receptionist/Biller provides front-desk support and billing services for a mental health practice. This role is the first point of contact for patients, ensuring a welcoming experience while managing scheduling, check-in, and administrative needs. In addition, the role is responsible for insurance verification, claims submission, and follow-up to ensure timely reimbursement for services provided. Duties/Responsibilities Reception & Administrative Support Greet patients and visitors warmly, creating a professional and supportive environment. Answer incoming calls, respond to inquiries, and route messages as needed. Schedule and confirm patient appointments, manage provider calendars, and update cancellations/reschedules. Check patients in and out, verify demographic information, and collect co-pays or outstanding balances. Maintain confidentiality of all patient information in compliance with HIPAA. Assist with general...

Job Posting Using established coding principles and procedures, reviews, analyzes and codes diagnostic and 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. Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record...

Business (Non-Clinical) Project Coordinator As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT, HCPCS, ICD used in the development and maintenance of Benefit Administration Manual policies and HAP's coverage tool (Master Tiering Database) as well as actively participate in various HAP code-related committees and ad hoc projects. Principal Duties and Responsibilities: Conduct research for development and update of codes for Benefit Administration Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other issues such as new technology. Maintain organized documentation of findings from research as well as proposed resolutions. Research all types of codes (e.g., CPT, HCPCS, ICD) including new codes, existing codes, additions and deletions of codes, use of modifiers, and revenue codes to be compliant with...

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

Job Description Job Description About Us: We are a busy internal medicine practice dedicated to providing exceptional patient care. We are seeking a highly skilled and detail-oriented Medical Biller & Coder to join our team and ensure accurate billing and coding processes. Key Responsibilities: Accurately code diagnoses and procedures for internal medicine patients using ICD-10-CM, CPT, and HCPCS Level II Submit insurance claims, follow up on denials, and manage appeals efficiently Post patient payments, reconcile accounts, and maintain accurate records Audit charts for coding accuracy and compliance with payer guidelines Communicate professionally with patients, providers, and insurance companies Ensure full HIPAA compliance and patient confidentiality Qualifications: 2+ years of experience in medical billing and coding, preferably in internal medicine Strong knowledge of insurance claims, prior authorizations, and payer rules...

Job Description Job Description Medical Coder Medical Records Full Time: 8:00A-5:00P Mon-Fri Surgeons Choice Medical Center is a patient centered health care facility and physician owned destination of care focusing on all hand, joint, orthopedic and sports medicine. In 2004, in an ambitious push to bring hospitality back to the hospital, a small group of top Metro-Detroit surgeons decided to create their own surgical hospital; one that provided patients with the best possible care in a small, easy-to-manage environment that truly embraces the best patient experience. We have since become the premier center of choice with 30 surgical beds and 6 operating rooms. Surgeons Choice Medical Center has an exciting opportunity for an Medical Coder in our Medical Records Department . An ideal candidate has a passion to serve people to improve their quality of life and empower them on their health journey. Perks for our staff: ● Competitive hourly pay...

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 Job Description Certified Coder - Billing Onsite - Royal Oak, MI About Sciometrix Sciometrix is a leading digital Health company looking for RN Case Manager Spanish. We are a leader in Telehealth -healthcare Virtual care Management. Our mission to engage patients to Deliver better outcomes. Sciometrix is known among customers, peers, and patients for clinical excellence, patient experiences, and provider satisfaction. Since the inception of our patient count, technological solutions have been evolving. We empower healthcare providers with advanced technology and human expertise, revolutionizing a patient's experience. Our propriety software and related technologies ensure HIPAA compliancy with cloud access. We have established HIPAA-compliant Clinicus, an artificial intelligence (AI) bot that monitors patients 24/7 and ensures fast response in their care management program. Clinicas watches each patient's vitals and alerts our licensed team when a...

Inpatient Coding Specialist 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...

Employment Opportunities 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: Knows, understands, incorporates, and demonstrates the Trinity Health...

Job Posting 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. Principal Duties and Responsibilities: Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient's medical record, including histories, physicals, operative reports, diagnostic testing reports, pathology reports, therapy notes, and discharge summary, etc. May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M) CPT code. Verifies and/or requests documentation to support compliance. Assigns diagnostic and procedural codes in accordance with coding...

Multispecialty QA Education Coding Associate R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. Our Multispecialty QA Education Coding Associate will be responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e., to extract data and apply appropriate ICD-10-CM, HCPCS, and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code conditions and procedures as documented in the ICD-10-CM Official...

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Business (Non-Clinical) 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...

Professional Medical Coder I (Remote Position, Must Reside in South Carolina) Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: $5,000.00 Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina's first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and...

Business (Non-Clinical) General Summary: 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...

Job Description Job Description Salary: Commensurate with Experience AIHFS is seeking a proven Medical Biller and Coder to be responsible for performing medical billing, coding, and other clerical billing duties. Reporting to the Billing Team Leader, the ideal candidate will be proficient in preparing third party insurance billing, tracking payments received, sending client statements, assisting with credentialing, monitoring aging report, and fulfilling related clerical duties. For Full-Time employment, AIHFS offers a Comprehensive Benefit Program: 15 Paid Holidays per calendar year, paid bereavement, paid jury duty leave - effective immediately upon hire Generous Paid Combined Vacation, Sick, and Personal Leave, accrual starts immediately, able to use after 30 days Health, Dental, Vision and Life Insurance Coverage is available on the 1st of the Month, following 31 days of Employment. For Blue Cross Network HMO plan: AIHFS contributes 100% to employee premium...

Job Posting General Summary: 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. +...

A prominent health organization in Detroit is seeking a Remote Coder to review and analyze diagnostic information from medical records. The ideal candidate will be responsible for ensuring accurate coding and compliance with health care regulations. A High School Diploma and additional coding certification are required, along with a minimum of 2 years coding experience. Join a dynamic team to support patient care and enhance medical research efforts through precise data entry. #J-18808-Ljbffr

A leading healthcare organization is seeking an Outpatient Complex Coder / Interventional and Diagnostic Radiology professional to review and code medical records for billing purposes. This role emphasizes accuracy and compliance with coding guidelines while ensuring optimal reimbursement. The ideal candidate will have strong anatomical knowledge and coding experience, with required certifications. This position is full-time and can be performed remotely, aligning with the coding program policies. #J-18808-Ljbffr

Outpatient Complex Coder / Interventional and Diagnostic Radiology Join to apply for the Outpatient Complex Coder / Interventional and Diagnostic Radiology role at Henry Ford Health Remote Position: This position may be performed remotely in accordance with the Remote Coding Program Policy (Medical Record Services Policy 09). General Summary Using established coding principles and procedures, review, analyze, and code diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstract information from the medical record to compile a patient database that supports medical research, patient care evaluation, and administrative decision‑making. The coding function is a primary source of data in health care, promoting provider/patient continuity, accurate database information, and optimized reimbursement while ensuring compliance with coding guidelines, reimbursement policies, regulations, and accreditation standards....

Remote Position 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. PRINCIPLE DUTIES AND RESPONSIBILITIES Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient's medical record, including histories,...