Medical Coder jobs at Henry Ford Health System - 61 jobs

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: * Degree in Medical Record Sciences preferred but not required or successful completion of a certification program with certification as a Registered Health Information Technician (RHIT), Registered Health Administrator (RHIA), CCS Certified Coding Specialist or RHIT, RHIA certification eligibility. (If RHIT, RHIA or CCS eligible, certification must be obtained within six (6) months of employment and a signed statement attesting to this agreement must be obtained upon hire) * Minimum of two (2) years coding experience required, with additional experience preferred. * Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. CERTIFICATIONS/LICENSURES REQUIRED: * RHIA, RHIT or CCS certification Additional Information * Organization: Corporate Services * Department: Inpatient Coding * Shift: Day Job * Union Code: Not Applicable

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. * One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. * Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. * Minimum of two (2) years coding experience required. * Specialty coding experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information * Organization: Corporate Services * Department: Procedural Coding * Shift: Day Job * Union Code: Not Applicable

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. * One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. * Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. * Minimum of two (2) years coding experience required. * Specialty coding experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information * Organization: Corporate Services * Department: Emergency Svcs Coding * Shift: Day Job * Union Code: Not Applicable

Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex Specialist accurately abstracts information from the electronic health 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, and regulation and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D. equivalent required. * Minimum of two (2) years coding experience required. * Additional specialty coding certification or five (5) years coding experience required. * Prior experience in a healthcare revenue cycle position required. * Specialty coding experience preferred. * One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. * Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. * Strong organizational and time management skills required to effectively prioritize work. * Ability to communicate effectively with colleagues, supervisor, and manager. * Ability to work independently. Ability to work remotely. * Proficient in medical terminology. * Proficient in ICD-10 CM, CPT and HCPCS coding. * Able to recognize patterns and trends and escalate to supervisors to support root- cause analysis. * Able to assist other team members. * Supports the standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines. CERTIFICATIONS/LICENSURES REQUIRED: * Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information * Organization: Corporate Services * Department: CBO Coding PB * Shift: Day Job * Union Code: Not Applicable

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. * One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. * Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. * Minimum of two (2) years coding experience required. * Specialty coding experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information * Organization: Corporate Services * Department: Inpatient Prof Coding * Shift: Day Job * Union Code: Not Applicable

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) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. * Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. * Minimum of two (2) years coding experience required. * Specialty coding experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * Certification as a Registered Health Information Technician (RHIT), CPC, or CCScertification required. Additional Information * Organization: Corporate Services * Department: Procedural Coding * Shift: Day Job * Union Code: Not Applicable

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. * One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. * Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. * Minimum of two (2) years coding experience required. * Specialty coding experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information * Organization: Corporate Services * Department: Inpatient Prof Coding * Shift: Day Job * Union Code: Not Applicable

Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex Specialist accurately abstracts information from the electronic health 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, and regulation and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: * High school diploma or G.E.D. equivalent required. * Minimum of two (2) years coding experience required. * Additional specialty coding certification or 10 years coding experience required. * Prior experience in a healthcare revenue cycle position required. * Specialty coding experience preferred. * One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. * Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. Strong organizational and time management skills required to effectively prioritize work. * Ability to communicate effectively with colleagues, supervisor, and manager. * Ability to work independently. Ability to work remotely. * Proficient in medical terminology. * Proficient in ICD-10 CM, CPT and HCPCS coding. * Able to recognize patterns and trends and escalate to supervisors to support root-cause analysis. * Able to assist other team members. * Supports the standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines. CERTIFICATIONS/LICENSURES REQUIRED: * Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information * Organization: Corporate Services * Department: CBO Coding PB * Shift: Day Job * Union Code: Not Applicable

JOB SUMMARY # The Health Information Management (HIM) Coder impacts Memorial#s Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment.## Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations. The coding information is used to determine APC#s (Ambulatory Payment Classification) for data quantitative analysis, quality research and claim submission. It is necessary that the candidate abides by the Standards of Ethical Coding as set forth by AHIMA and strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. # Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience.# Recognizes and demonstrates understanding of patient and family centered care.# # PRIMARY JOB RESPONSIBILITIES: # Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. Codes accounts in work lists appropriately based on priority. 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. Meet and sustain productivity metrics established by the Manager while maintaining high accuracy rate. Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment. Investigates and tracks unbilled accounts to determine reason for incomplete status and works with appropriate resources for completion. Queries physicians and other healthcare providers when there is conflicting, incomplete, or ambiguous information in the health record. Comply with industry standards #Guidelines for Achieving a Compliant Query Practice# when composing queries. Accountable for Claim Edits review and respond to NCCI, OCE, LCD # NCD edits. Abides by and stays current with Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting, American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, and American Health Information Management Association (AHIMA) Standards of Ethical Coding. Maintains appropriate, and demonstrates adequate use of, multiple software applications, including 3-M, Meditech (Expanse), scanning software, etc. Completes assigned tasks in appropriate timeframe and adjusts to increased workload. Problem solves and brings concerns to Manager for resolution when appropriate. Actively contributes to the morale and teamwork of the staff and facility and always presenting a positive attitude and patient-minded vision, with patient satisfaction as the continuing goal. Follows established procedures for specific coding modalities, examples # concurrent and retrospective coding. Assists with training/orientation of new employees and students. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. Efficient and productive in a remote work environment. Other duties as assigned. # JOB SPECIFICATIONS # EDUCATION Associate#s degree in Health Information Technology is required.# Minimum of successful completion of a registered coding program with AHIMA approval status, RHIA or RHIT or CCS is required. # EXPERIENCE Three years of Acute Care Hospital coding experience is required.# Knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG group assignments, anatomy, physiology and pathophysiology.# Competency in the use of computer applications. JOB SUMMARY The Health Information Management (HIM) Coder impacts Memorial's Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment. Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations. The coding information is used to determine APC's (Ambulatory Payment Classification) for data quantitative analysis, quality research and claim submission. It is necessary that the candidate abides by the Standards of Ethical Coding as set forth by AHIMA and strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. PRIMARY JOB RESPONSIBILITIES: * Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. * Codes accounts in work lists appropriately based on priority. * 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. * Meet and sustain productivity metrics established by the Manager while maintaining high accuracy rate. * Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment. * Investigates and tracks unbilled accounts to determine reason for incomplete status and works with appropriate resources for completion. * Queries physicians and other healthcare providers when there is conflicting, incomplete, or ambiguous information in the health record. Comply with industry standards "Guidelines for Achieving a Compliant Query Practice" when composing queries. * Accountable for Claim Edits review and respond to NCCI, OCE, LCD & NCD edits. * Abides by and stays current with Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting, American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, and American Health Information Management Association (AHIMA) Standards of Ethical Coding. * Maintains appropriate, and demonstrates adequate use of, multiple software applications, including 3-M, Meditech (Expanse), scanning software, etc. * Completes assigned tasks in appropriate timeframe and adjusts to increased workload. * Problem solves and brings concerns to Manager for resolution when appropriate. * Actively contributes to the morale and teamwork of the staff and facility and always presenting a positive attitude and patient-minded vision, with patient satisfaction as the continuing goal. * Follows established procedures for specific coding modalities, examples - concurrent and retrospective coding. * Assists with training/orientation of new employees and students. * Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior. * Efficient and productive in a remote work environment. * Other duties as assigned. JOB SPECIFICATIONS EDUCATION * Associate's degree in Health Information Technology is required. * Minimum of successful completion of a registered coding program with AHIMA approval status, RHIA or RHIT or CCS is required. EXPERIENCE * Three years of Acute Care Hospital coding experience is required. * Knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG group assignments, anatomy, physiology and pathophysiology. * Competency in the use of computer applications.

General Purpose of Job: Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine - Sparrow policies and procedures and maintains required quality and productivity standards. Essential Duties: This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position. * Extracts, reviews, and analyzes clinical information, identifies and abstracts all pertinent information and translates data into appropriate codes for hospital billing, POA and PSI indicators, research, statistics, financial planning, compliance and marketing to ensure completeness, accuracy and compliance with established guidelines of all governmental regulatory agencies and third-party payers. * Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) * The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider to support the care provided. * Correctly abstracts required data per facility specifications. * Exercises independent judgment in determining case complexity by utilizing clinical knowledge to understand the etiology, pathology, signs, symptoms, diagnostic studies, treatment modalities and prognosis of diseases and procedures to be coded. Researches complex diagnoses and/or procedures as needed to enhance coding knowledge to consistently apply the correct ICD-10-CM and ICD-10-PCS codes. * Captures the correct principal diagnosis, co-existing conditions, and principal procedure for each inpatient admission. Works in collaboration with CDI team to consult with the providers to clarify or improve documentation for correct coding assignment to ensure correct data reporting and reimbursement and to maintain compliance with Federal and State regulations. * Responsible for sequencing codes that capture accurate Severity of Illness/Risk of Mortality. * Interacts closely with the Clinical Documentation Specialists and DRG Compliance Auditors to query the medical staff appropriately and professionally to obtain accurate documentation necessary to ensure coding compliance and accuracy. * Expands job-related knowledge and skills by attending and participating in in-services and staff meetings. Keeps abreast of coding guidelines and quarterly AHA Coding Clinic. * Attends required system, hospital and departmental meetings and educational sessions as established by leadership, and completes required annual learning programs, to ensure continued education and growth. * Responsible for ensuring accuracy and maintaining established quality and productivity standards, as well as key performance indicators. Job Requirements General Requirements • Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Management Technician (RHIT) or Registered Health Information Administrator (RHIA). • Member of the AHIMA or AAPC in good standing (i.e., has paid dues and completed required continuing education) Work Experience • Minimum one (1) year recent facility coding experience. • Per diem candidates must have minimum three (3) years of recent inpatient coding experience Education • High School Diploma/GED • Associate Degree in Health Information Technology/Management - preferred. Specialized Knowledge and Skills • Must pass departmental testing as follows: • Coding - 80% or better • Experience in a major academic medical center and ICD-10-CM/PCS - preferred. • Microsoft Office skill and experience (Word, Excel, and PowerPoint) - preferred. • Excellent computer skills and previous experience with computer-assisted-coding and encoder/grouper - preferred. University of Michigan Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status. #LI-MA1 Location: Sparrow Hospital Activation Date: Friday, July 11, 2025 Expiration Date: Saturday, April 25, 2026 Apply Here

General Purpose of Job: Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine - Sparrow policies and procedures and maintains required quality and productivity standards. Essential Duties: This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position. * Extracts, reviews, and analyzes clinical information, identifies and abstracts all pertinent information and translates data into appropriate codes for hospital billing, POA and PSI indicators, research, statistics, financial planning, compliance and marketing to ensure completeness, accuracy and compliance with established guidelines of all governmental regulatory agencies and third-party payers. * Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) * The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider to support the care provided. * Correctly abstracts required data per facility specifications. * Exercises independent judgment in determining case complexity by utilizing clinical knowledge to understand the etiology, pathology, signs, symptoms, diagnostic studies, treatment modalities and prognosis of diseases and procedures to be coded. Researches complex diagnoses and/or procedures as needed to enhance coding knowledge to consistently apply the correct ICD-10-CM and ICD-10-PCS codes. * Captures the correct principal diagnosis, co-existing conditions, and principal procedure for each inpatient admission. Works in collaboration with CDI team to consult with the providers to clarify or improve documentation for correct coding assignment to ensure correct data reporting and reimbursement and to maintain compliance with Federal and State regulations. * Responsible for sequencing codes that capture accurate Severity of Illness/Risk of Mortality. * Interacts closely with the Clinical Documentation Specialists and DRG Compliance Auditors to query the medical staff appropriately and professionally to obtain accurate documentation necessary to ensure coding compliance and accuracy. * Expands job-related knowledge and skills by attending and participating in in-services and staff meetings. Keeps abreast of coding guidelines and quarterly AHA Coding Clinic. * Attends required system, hospital and departmental meetings and educational sessions as established by leadership, and completes required annual learning programs, to ensure continued education and growth. * Responsible for ensuring accuracy and maintaining established quality and productivity standards, as well as key performance indicators. Job Requirements General Requirements • Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Management Technician (RHIT) or Registered Health Information Administrator (RHIA). • Member of the AHIMA or AAPC in good standing (i.e., has paid dues and completed required continuing education) Work Experience • Minimum one (1) year recent facility coding experience. • Per diem candidates must have minimum three (3) years of recent inpatient coding experience Education • High School Diploma/GED • Associate Degree in Health Information Technology/Management - preferred. Specialized Knowledge and Skills • Must pass departmental testing as follows: • Coding - 80% or better • Experience in a major academic medical center and ICD-10-CM/PCS - preferred. • Microsoft Office skill and experience (Word, Excel, and PowerPoint) - preferred. • Excellent computer skills and previous experience with computer-assisted-coding and encoder/grouper - preferred. University of Michigan Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status. Location: Sparrow Hospital Activation Date: Tuesday, December 2, 2025 Expiration Date: Saturday, May 30, 2026 Apply Here

Job DescriptionOptimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Exceptional Benefits: Minimum of 3 Weeks Paid Time Off (PTO) Company Vehicle Program Flexible Work Schedule Mentorship Culture Medical, Dental, and Vision Insurance 401(k) with Employer Match Mileage Reimbursement Cutting Edge Technology Key Responsibilities As a Quality Assurance Coder, you'll ensure accurate coding for home care and hospice cases, supporting regulatory compliance, appropriate reimbursement, and most importantly - high-quality patient care. This position is ideal for a detail-oriented coding professional who wants to apply their technical skills in a meaningful healthcare setting. You'll work closely with our quality assurance team to maintain coding accuracy across all cases while staying current with evolving regulations and guidelines. What You'll Do Apply Expert Coding Knowledge Apply ICD-10 diagnosis codes to patient conditions and disease processes using current coding guidelines Identify and code the primary focus of care and terminal diagnoses along with all relevant comorbidities Ensure accurate coding to support PDGM reimbursement and regulatory compliance Maintain expertise in ICD-10-CM coding standards and stay current with updates Review and Audit Documentation Review Face-to-Face documents for home health and hospice regulatory compliance Use Face-to-Face documentation to identify focus of care for home health patients Verify continuing criteria for eligibility for hospice patients Audit medical records using critical thinking skills to ensure accuracy and completeness Support Compliance and Quality Communicate significant findings, problems, and changes related to compliance standards to leadership Monitor federal, state, and local regulations including CMS Conditions of Participation Stay informed about Medicare, Medicaid, and third-party payor requirements Identify and report potential payment coverage issues proactively Manage Workflow and Process Improvement Track cases to ensure timely billing and regulatory compliance Identify problematic coding sequences and provide solutions to prevent care disruptions Prepare reports as directed by the Director of Quality Assurance Participate in special audits as requested or assigned Ensure Regulatory Compliance Maintain knowledge of changes in Conditions of Participation affecting quality improvement Ensure adherence to all federal, state, local, and OSHA regulations Support compliance initiatives across the organization Contribute to continuous quality improvement activities Required Qualifications High school diploma ICD-10 coding certification Minimum 3 years of quality assurance experience Current knowledge of ICD-10-CM coding guidelines Reliable transportation with valid automobile insurance Essential Skills and Knowledge Expert knowledge of ICD-10 coding standards and regulations Strong understanding of home health care and hospice reimbursement (PDGM) Demonstrated decision-making and analytical skills Critical thinking abilities with attention to detail Effective verbal and written communication skills Strong interpersonal skills for collaboration with clinical and administrative teams Microsoft Office proficiency preferred Ability to interpret and apply complex regulatory requirements What Makes You Successful You're a coding specialist who takes pride in accuracy and understands that proper coding is essential to both reimbursement and quality patient care. You have a sharp eye for detail and the critical thinking skills to identify issues before they become problems. You're proactive about staying current with regulatory changes and coding updates, viewing ongoing education as an essential part of your professional practice. You can work independently while also collaborating effectively with quality assurance specialists and clinical staff. You're organized and process-oriented, able to manage your workflow efficiently while maintaining the highest standards of accuracy. You understand the bigger picture - that your work supports compliance, financial integrity, and ultimately, excellent patient care. Work Environment This is primarily an office-based position with occasional travel to branch locations for audits or educational events. The role involves extended periods of computer work in a comfortable, professional setting as part of a collaborative quality assurance team. Location Office Location: Jackson, MI This is a remote position for those located in Michigan, Indiana, Ohio, Texas, or Mississippi only Hours 8:00 am - 5:00 pm, Monday through Friday Background ScreeningOptimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.Reasonable AccommodationsWe will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.Equal Opportunity EmployerOptimal Care is an equal-opportunity employer.

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, 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 principles and established guidelines. * May review and correct coding errors, edits, rejections and/or disputes. * Charge entry when appropriate. * Performs a comprehensive review of the documentation to ensure the presence of all necessary elements, such as: patient identification, provider signatures and dates. * Verifies completeness of medical record within electronic medical record, reporting any discrepancies to supervisor. * Interacts with medical staff via physician queries for clarification of documentation. * Performs other related duties as required * If participating in the remote coding program, required to adhere to the Remote Coding Program Policy (Medical Record Services Policy 09). * Maintains a working knowledge of applicable Federal, State and local laws and regulations, the Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. EDUCATION/EXPERIENCE REQUIRED: * High School Diploma or G.E.D. equivalent required. * Additional specialty coding certification required or Bachelor's Degree required. * One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. Minimum of two (2) years coding experience required. Specialty coding experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information * Organization: Henry Ford Hospital - Detroit Main Campus * Department: Radiology-Administration * Shift: Day Job * Union Code: Not Applicable

Are you looking for a rewarding career as a Medical Coding Specialist? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay * $ 24 - $ 28 /Hourly What's in it for you * A full benefits package with choice of affordable PPO or HSA medical plans. * Paid time off. * Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. * Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* * Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. * 401(k) with a company match. * Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. * And more. Please note: Benefit eligibility can vary by position depending on shift status. * To participate, you must be enrolled in an Amedisys medical plan. Responsibilities * Receives and reviews patient assessments for assigned care centers. * Reviews diagnosis coding patient status items compared to other related patient documentation to verify completeness and accuracy on non-OASIS required assessments. * Reviews specified OASIS patient status items for specified payors compared to other related patient documentation to verify completeness and accuracy. * Identifies needs for additional supportive documentation/information and communicates needs to care center leadership and supervisor. * Communicates any delays in processing assessments to supervisor and care center. * Performs other duties as assigned. Qualifications * must have: HCSD or BCHH-C ICD-10 certification. Preferred * One year home health ICD-10 coding experience. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. * must have: HCSD or BCHH-C ICD-10 certification. Preferred * One year home health ICD-10 coding experience. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. * Receives and reviews patient assessments for assigned care centers. * Reviews diagnosis coding patient status items compared to other related patient documentation to verify completeness and accuracy on non-OASIS required assessments. * Reviews specified OASIS patient status items for specified payors compared to other related patient documentation to verify completeness and accuracy. * Identifies needs for additional supportive documentation/information and communicates needs to care center leadership and supervisor. * Communicates any delays in processing assessments to supervisor and care center. * Performs other duties as assigned.

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group 6901 Portage Road Title Professional Onsite Coder The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate competencies specific to the population served. High school diploma or general education degree (GED) required 12-18 months coding experience in a health care setting preferred CPC or RHIT (Registered Health Information Technician) required within 12 months of hire * Must have working knowledge of ICD-10 and CPT coding with emphasis on area of specialty working in * Strong medical terminology * Ability to utilize word processing, spreadsheet, presentation programs, databases, and other software relevant to the job * Requires excellent communication skills and positive customer relations orientation * Must have excellent communication skills (orally, face to face and/or by telephone, and in writing) and a positive customer relations orientation * Must be able to work independently and demonstrate effective problem-solving Work which produces very high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely close tolerances and considerable hand/eye coordination for sustained periods of time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects. * Perform detailed review of provider documentation/dictation for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). * Perform research on code selection. * Reviews work queues and/or post charges into Practice Management System for provider hospital and office billing, and complex surgery cases, validating documentation with correct dates of service and confirming selection of appropriate billing codes. * Provide codes for surgical cases for insurance authorization. * Run reports (e.g., Charge Summary) as necessary for physician review and CBO. * Maintain necessary spreadsheets tracking authorizations and surgical case/procedures. * Communicates in a positive persuasive manner with physician on rationale for selected codes. * Relays messages to providers. * General clerical duties including internal/external correspondence and answering telephones. * Completes required forms or letters as necessary. * Performs other duties as may be assigned. Shift First Shift Time Type Full time Scheduled Weekly Hours 40 Cost Center 1401 HIM Coding and Charging (BHG) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates ("Bronson") strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!

Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Exceptional Benefits: Minimum of 3 Weeks Paid Time Off (PTO) Company Vehicle Program Flexible Work Schedule Mentorship Culture Medical, Dental, and Vision Insurance 401(k) with Employer Match Mileage Reimbursement Cutting Edge Technology Key Responsibilities As a Quality Assurance Coder, you'll ensure accurate coding for home care and hospice cases, supporting regulatory compliance, appropriate reimbursement, and most importantly - high-quality patient care. This position is ideal for a detail-oriented coding professional who wants to apply their technical skills in a meaningful healthcare setting. You'll work closely with our quality assurance team to maintain coding accuracy across all cases while staying current with evolving regulations and guidelines. What You'll Do Apply Expert Coding Knowledge Apply ICD-10 diagnosis codes to patient conditions and disease processes using current coding guidelines Identify and code the primary focus of care and terminal diagnoses along with all relevant comorbidities Ensure accurate coding to support PDGM reimbursement and regulatory compliance Maintain expertise in ICD-10-CM coding standards and stay current with updates Review and Audit Documentation Review Face-to-Face documents for home health and hospice regulatory compliance Use Face-to-Face documentation to identify focus of care for home health patients Verify continuing criteria for eligibility for hospice patients Audit medical records using critical thinking skills to ensure accuracy and completeness Support Compliance and Quality Communicate significant findings, problems, and changes related to compliance standards to leadership Monitor federal, state, and local regulations including CMS Conditions of Participation Stay informed about Medicare, Medicaid, and third-party payor requirements Identify and report potential payment coverage issues proactively Manage Workflow and Process Improvement Track cases to ensure timely billing and regulatory compliance Identify problematic coding sequences and provide solutions to prevent care disruptions Prepare reports as directed by the Director of Quality Assurance Participate in special audits as requested or assigned Ensure Regulatory Compliance Maintain knowledge of changes in Conditions of Participation affecting quality improvement Ensure adherence to all federal, state, local, and OSHA regulations Support compliance initiatives across the organization Contribute to continuous quality improvement activities Required Qualifications High school diploma ICD-10 coding certification Minimum 3 years of quality assurance experience Current knowledge of ICD-10-CM coding guidelines Reliable transportation with valid automobile insurance Essential Skills and Knowledge Expert knowledge of ICD-10 coding standards and regulations Strong understanding of home health care and hospice reimbursement (PDGM) Demonstrated decision-making and analytical skills Critical thinking abilities with attention to detail Effective verbal and written communication skills Strong interpersonal skills for collaboration with clinical and administrative teams Microsoft Office proficiency preferred Ability to interpret and apply complex regulatory requirements What Makes You Successful You're a coding specialist who takes pride in accuracy and understands that proper coding is essential to both reimbursement and quality patient care. You have a sharp eye for detail and the critical thinking skills to identify issues before they become problems. You're proactive about staying current with regulatory changes and coding updates, viewing ongoing education as an essential part of your professional practice. You can work independently while also collaborating effectively with quality assurance specialists and clinical staff. You're organized and process-oriented, able to manage your workflow efficiently while maintaining the highest standards of accuracy. You understand the bigger picture - that your work supports compliance, financial integrity, and ultimately, excellent patient care. Work Environment This is primarily an office-based position with occasional travel to branch locations for audits or educational events. The role involves extended periods of computer work in a comfortable, professional setting as part of a collaborative quality assurance team. Location Office Location: Jackson, MI This is a remote position for those located in Michigan, Indiana, Ohio, Texas, or Mississippi only Hours 8:00 am - 5:00 pm, Monday through Friday Background Screening Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Equal Opportunity Employer Optimal Care is an equal-opportunity employer.

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. Position Summary: Responsible for charge capture process for professional charges within the SMHC system, including but not limited to: verifying and/or analyzing medical record documentation to determine the principle and all secondary diagnoses and procedures; and assigning diagnostic and procedural codes using coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and SMHC. Assists in the orientation and training of new employees within the coding and charge capture area. What the Inpatient Coder will need: * Education Minimum - Associates Degree in allied health related field, including classes in medical terminology, anatomy and physiology; or two years of increasingly responsible medical records experience with exposure to medical terminology, anatomy, physiology, and coding; or an equivalent combination of education and experience. * Credentials/Licensure Minimum - Certified Coding Specialist credentialing * Minimum - One - three (1-3) years of professional coding experience with multiple surgical specialties * Preferred - prior experience in coding for neurosurgery, thoracic surgery, and / or gynecologic oncology procedures * Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations. * Solid understanding of ICD-9 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans. * Ability to maintain accurate records and to prioritize and organize work effectively. * Ability to exercise independent judgment as appropriate within standard practices and procedures. What the Inpatient Coder will do: * Performs coding and charge entry of surgical services dropped in Epic with a generic placeholder or PBSUR. * Detailed in code selections. Maintains accuracy of 95% or greater. * Performs accurate resolve of assigned hospital-based and surgical charge review errors and claim edits in Epic, keeping WQ aging < 2 days. * Reviews documentation in Epic or other sources to appropriately determine ICD-10, CPT, HCPCS, and modifier assignment. * Researches all information needed to complete coding process. * Follows daily, weekly & monthly productivity requirements. * Resolves coding discrepancies related to coding and revenue capture. * Participates in the liaison process between the Centralized Coding, Providers, Managers, and Leadership. * Obtains and maintains relevant education to perform essential functions; keeps coding credentials (CPT, CCS) current at all times. * Serves as a resource for providers, managers, peers. * Performs other related duties as assigned. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services. ESSENTIAL JOB FUNCTIONS 1. Examines patient care reports to gather essential information for insurance documentation. 2. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements. 3. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. 4. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details. 5. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service. 6. Allocates charges for services supported by documentation in the patient care report. 7. Reviews medical records to assess the medical necessity of ambulance transport and enters suitable ICD, CPT, or HCPCS code for claims. 8. Verifies the presence of all required documents before submitting reimbursement claims to ensure inclusive records. 9. Calculates total bills, indicating amounts payable by insurance and patients, and processes claim submissions by mail or electronically. 10. Ensures each account is billed to the correct payer following the appropriate billing schedule. 11. Follows up with companies and individuals regarding unpaid claims to secure payment. 12. Communicates in a professional manner when addressing patients' and families' questions regarding statements, in order to provide accurate information. 13. Prepares outgoing mail, bills, invoices, statements, and reports. 14. Manages denial resolution and accounts receivable follow-up. 15. Posts payments and compiles reports. 16. Performs charge entry tasks. 17. Handles aging accounts. 18. Commitment to maintaining confidentiality and compliance with HIPAA and other privacy regulations. 19. Performs other duties as required or assigned. EDUCATION/EXPERIENCE 1. High school degree or GED required 2. One year of experience with medical billing and coding systems, or a certificate for medical coding, preferred 3. Knowledge of medical billing software preferred KNOWLEDGE/SKILLS/ABILITIES 1. Knowledge of the Health Insurance Portability and Accountability Act (HIPAA) 2. Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes) 3. Knowledge of medical terminology, abbreviations, and acronyms 4. Knowledge of medical billing 5. Attention to detail to review records and claims for errors or discrepancies 6. Strong communication skills are required to clearly explain procedures and resolve issues with providers, insurers, and patients 7. Understanding of various insurance plans and procedures 8. Ability to work independently and collaboratively 9. Ability to prioritize tasks and meet deadlines 10. Intermediate Microsoft Office and Google Workspace skills PHYSICAL REQUIREMENTS 1. Talking - expressing or exchanging ideas by means of the spoken word to impart oral information to others accurately (1-2 hrs. daily). 2. Hearing - perceiving the nature of sound by ear (1-2 hrs. daily). 3. Sitting - remaining in a seated position (6-8 hrs. daily). 4. Lifting - raising or lowering an object under 20 lbs. from one position to another (infrequently). 5. Work Environment - general office work and exposure to elements within the office environment (6-8 hrs. daily).