10 outpatient professional coder jobs found in Farmington Hills, MI

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 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...

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...

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...

DRG CODING AUDITOR Location : This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes audit tools and auditing workflow systems and reference information to make...

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...

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. As our Hospital Coding Auditor, you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies.  This position requires good time management skills and the ability to work independently. Here’s what you will experience working as a Hospital Coding Auditor Review hospital charges against medical record and all...