11 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

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 Medical Record Sciences...

Title: Medical Coder - Long Term Acute Care Hospital Reports to: Director of Operations Effective Date: 12.2025 Revise Date: Summary The Medical Coder - Long Term Acute Care Hospital is responsible for accurate and compliant coding of diagnoses, procedures, and services for inpatient, outpatient, and skilled nursing encounters. This role supports appropriate reimbursement under Medicare, Medicaid, and commercial payers while ensuring compliance with CMS, DRG, and hospital coding regulations. Core Responsibilities: Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes for inpatient encounters Ensure accurate DRG/APR-DRG assignment and appropriate sequencing of diagnoses and procedures Review operative reports, discharge summaries, progress notes, and ancillary documentation Collaborate with CDI staff to clarify diagnoses and ensure complete, compliant documentation General Responsibilities: Ensure compliance with CMS, Medicare, Medicaid, and payer-specific...

Overview Certified Coder - Billing Onsite - Royal Oak, MI 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 patient\'s program progress or vitals are varying....

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, 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. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

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...

Medical Coder Non-Certified Extended Site Maintenance We are performing updates and maintenance to our applicant experience. As a result, the site will be unavailable Saturday, February 7th at 8am EST through Sunday, February 9th at 7:30am EST. During this outage period, applications for job postings can not be submitted. Apply Now Job Summary The Department of Pathology is seeking a detail-oriented and experienced individual to join its team as a Medical Coder ? Outpatient (Non-Certified). This role focuses on coding and billing functions for outpatient and inpatient pathology services, requiring a strong set of skills, proficiency in medical terminology, and the ability to adapt to meet departmental needs. This position also involves the complex task of handling prior authorizations for high-level Molecular Testing. The role includes a variety of complex tasks and may serve as a resource for resolving coding and billing issues. Work is performed under general...

Medical Coder Compliance Spec Extended Site Maintenance We are performing updates and maintenance to our applicant experience. As a result, the site will be unavailable Saturday, February 7th at 8am EST through Sunday, February 9th at 7:30am EST. During this outage period, applications for job postings can not be submitted. Apply Now Job Summary Perform coding quality audits on outpatient records to assure appropriateness, accuracy, and compliance for CPT/HCPCs, ICD-10-CM code assignments, and modifier assignment in accordance with Center of Medicare and Medicaid Service (CMS) Guidelines, AMA and AHA Official ICD-10-CM Coding Guidelines. Provide ongoing feedback to managers and coders. Develop and implement educational programs regarding elements of the coding compliance program and act as a subject matter expert for the outpatient coding department. Mission Statement Michigan Medicine improves the health of patients, populations and communities through...

A leading academic health institution is seeking a detail-oriented Medical Coder to focus on outpatient and inpatient pathology services billing. This role involves coding with ICD-10-CM and collaborating with medical staff to ensure accurate submissions. The ideal candidate should have extensive coding experience and strong skills in medical terminology. This full-time position offers flexibility with a fully remote option. Join the team and contribute to high-quality healthcare delivery. #J-18808-Ljbffr

Position Summary: At the direction of the assigned leadership, interprets business rules, federal and state guidelines and prepares specifications for all information systems, including benefiting and pricing requirements for claims processing. Develops and maintains reporting as needed by leadership and operational objectives. Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans. Defines test scenarios, involved in testing, and approval of testing results for implementation to ensure business requirements are met. Responsible for change management that impact claims configuration for all systems. Essential Functions and Responsibilities: 1. Interprets business rules, Federal and State guidelines, including but not limited to outpatient coding to create rules for processing within systems to ensure requirements are met. 2. Responsible for auditing...

ASSOCIATE DIRECTOR Ross Education Holdings, Inc. New Baltimore, MI - Campus based position Schedule: Full Time - Monday-Friday (3) days 8-5 and (2) afternoons 11-8 We are looking for a Medical Assistant with 3+ years of MA experience, an Associate's Degree or higher, and preferably some management experience to take your career to the next level. Ross Educations non-profit secondary education centers are working to provide all students with the tools to become much needed health care professionals. Apply with confidence knowing a human will read your resume. Come find your "WHY" at Ross Education! Ross is more than a place to work - we're a community built on shared values. As part of our team, you'll be asked to embody and uphold the principles that guide everything we do: Being Humble, Kind, a Good Steward, Embrace Accountability, Deliver an Exceptional Student Experience and Lead Responsibly If these values resonate with you and you're looking to...