16 cpc certified professional coder jobs found in Walker, MI

3 days ago Be among the first 25 applicants Description Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD‑10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross‑training established coders in new specialties. Employment Type Full time Shift Day...

Inpatient Coder - CPC Employer: Trinity Health Employment Type: Full time Shift: Day Shift Location: Remote Responsibilities Review all assigned charge review errors and claim edits for hospital-based services, including surgical procedures, ensuring correct charge capture and coding with CPT, HCPCS and ICD-10 codes and proper modifiers in accordance with local policies. Analyze medical documentation to verify primary and secondary diagnoses and procedures, assign diagnostic and procedural codes using CMS guidelines. Perform charge entry and discrepancy resolution, serving as liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assisting in orienting and training new employees in the coding and charge capture area and cross‑training established coders in new specialties. Qualifications Associate’s degree in an allied health field or equivalent education and experience. Certified Coding Specialist credential. One to...

A healthcare organization is seeking an Inpatient Coder to work remotely. The role involves reviewing charge edits and coding with CPT, HCPCS, and ICD-10 codes. Candidates should have an Associate's degree in an allied health field and Certified Coding Specialist credential, with experience across multiple surgical specialties preferred. Strong communication skills and a solid understanding of medical coding are essential for ensuring accurate charge capture. Join a dedicated team that values diversity and equal opportunity. #J-18808-Ljbffr

Coder III Full-time Company Description Healthcare Job Description Coder III 3-5 years experience preferred Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural...

Coder IIIFull-timeCompany DescriptionHealthcareJob DescriptionCoder III3-5 years experience preferredProvides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records.Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT)-4®/ Healthcare...

Certified Medical Biller/Coder & Revenue Cycle Manager Submissions from recruiters, staffing agencies, or third-party contractors will not be considered. Overview: Focus Clinic is seeking a full-time Certified Medical Biller/Coder and Credentialing Specialist to take ownership of our revenue cycle operations as our clinic continues to grow. This role is ideal for a highly organized, proactive, and mission-driven professional with expertise in medical coding, insurance billing, and accounts receivable. The successful candidate will combine exceptional attention to detail and accountability with the compassion and clear communication our patients and families deserve. Key Responsibilities: Medical Coding and Documentation Review Accurately assign CPT, ICD-10-CM, HCPCS, and applicable modifier codes across Focus Clinic's multidisciplinary services, including medical visits, diagnostic evaluations and testing, therapy services, and other covered services. Review...

Focus Clinic is seeking a full-time Certified Medical Biller/Coder and Revenue Cycle Manager to own the revenue cycle as the clinic grows. This role combines coding, billing, A/R follow-up, and credentialing with patient-centered communication. You will code CPT/ICD-10-CM/HCPCS, review documentation for payer compliance, manage TriZetto and eClinicalWorks workflows, and reduce denials while improving cash flow. #J-18808-Ljbffr

Coder - Hospital Outpatient Services - Revenue Cycle Mid Service * Days - 40hrs/wkRequisition #: req11650Shift: DaysFTE status: 1On-call: NoWeekends: NoOne year ambulatory surgery/OBV experience required.General Summary:Under the direction of the Coding Supervisor and Manager, the Coder for Hospital Services is responsible for accurately coding outpatient conditions and procedures. The Coder reviews clinical documentation and diagnostic results in order to extract data for billing, internal and external reporting, and research, ensuring all codes are appropriately applied per the ICD-10-CM Official Guidelines for Coding and Reporting. When applicable, the Coder is responsible for accurately and completely capturing charges for hospital services provided by reviewing clinical documentation. This data is utilized for revenue processing, internal and external reporting, research and regulatory compliance as documented in the CPT guidelines.Knowledge, Skills and Abilities:High School...

Job Description Job Description Description: CPC-As are not being considered at this time. We're coding rebels with a cause. KODE is a health-tech company developed by medical coders for medical coders looking to change the way things are done in the industry. Our company may be young but we're growing rapidly. That also means we're not buried in outdated policies and bureaucracies.Coders play a critical role in healthcare, but have you ever felt like you're just a cog in the machine? At KODE there are no cogs, there are people. We aren't looking for a coder to fill an open position simply. We're looking for a new teammate passionate about professional coding who wants to join our collective mission to be awesome.We're serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading. About this Role We're looking for a Facility Inpatient Coder to join our company! Responsibilities: Review medical records to assign...

Job Description Job Description Description: About KODE We're coding rebels with a cause. KODE is a health-tech company developed by medical coders for medical coders looking to change the way things are done in the industry. Our company may be young but we're growing rapidly. That also means we're not buried in outdated policies and bureaucracies. Coders play a critical role in healthcare, but have you ever felt like you're just a cog in the machine? At KODE there are no cogs, there are people. We aren't looking for a coder to fill an open position simply. We're looking for a new teammate passionate about professional coding who wants to join our collective mission to be awesome.We're serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading. About this Role The Outpatient Surgery and Observation Coder reviews facility outpatient surgery medical records and facility observation records. The coder works...

KODE is a health-tech company built by medical coders for coders. We are seeking a Facility Inpatient Coder to join our growing team and improve industry practices. The role requires 3+ years of professional specialty coding experience and credentials such as RHIA, RHIT, or CCS. Responsibilities include reviewing records to assign ICD-10, CPT, and HCPCS codes, performing audits, and collaborating with the coding team to maintain high productivity and quality standards. #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...

CoordinatorThe Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review, ensuring accurate capture of diagnosis codes, and educating providers. This role partners closely with providers, clinical staff, coding teams and operational leadership to optimize HCC capture and improve documentation integrity.Qualifications: Professional coding certification; Certified Risk Adjustment Coder (CRC) strongly preferred or required within 12 months of hire. Experience with risk adjustment programs preferred. Prior provider education or clinical collaboration experience preferred. Excellent communication skills for provider education and stakeholder collaboration.Employment Type: Full TimeShift: Mon-Thrs- 8am-4:30pm Fri- 8a-12pWeekly Scheduled Hours: 36Wage Range: $23.30 - $34.95 per hourWeekend Requirements: NARequirements:- High school diploma/GED or higher...

Medical Billing Specialist The Medical Billing Specialist works in office for the first year on a number of tasks as directed by Medical Billing Supervisor. Essential Functions Post payments daily Correct claims Answer phones Run AR reports and work claims Check patient eligibility/benefits Patient balances/collections Manage care credit Manage patient payment plans Process refund checks Competencies Ethical Conduct Customer Service Physical Capacity The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This role requires the employee to frequently stand, walk, push/pull, and perform some light lifting. This is an Full Time Position. Standard days and hours of work Monday-Friday 730a-430p. You will be required to be in the office for the first year at least. At least a High School Diploma and 3 years' experience in Medical Office...

Medical Billing SpecialistThe Medical Billing Specialist works in office for the first year on a number of tasks as directed by Medical Billing Supervisor.Essential FunctionsPost payments dailyCorrect claimsAnswer phonesRun AR reports and work claimsCheck patient eligibility/benefitsPatient balances/collectionsManage care creditManage patient payment plansProcess refund checksCompetenciesEthical ConductCustomer ServicePhysical CapacityThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.This role requires the employee to frequently stand, walk, push/pull, and perform some light lifting.This is an Full Time Position. Standard days and hours of work Monday-Friday 730a-430p. You will be required to be in the office for the first year at least.At least a High School Diploma and 3 years' experience in Medical Office Billing.Other Duties Please note this job description is not designed...

Medical Billing Specialist The Medical Billing Specialist works in office for the first year on a number of tasks as directed by Medical Billing Supervisor. Essential Functions Post payments daily Correct claims Answer phones Run AR reports and work claims Check patient eligibility/benefits Patient balances/collections Manage care credit Manage patient payment plans Process refund checks Competencies Ethical Conduct Customer Service Physical Capacity The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This role requires the employee to frequently stand, walk, push/pull, and perform some light lifting. This is an Full Time Position. Standard days and hours of work Monday-Friday 730a-430p. You will be required to be in the office for the first year at least. At least a High School Diploma and 3 years' experience in Medical Office Billing. Other Duties Please note this job...