Medical coder jobs in Dearborn, MI

**Department:** HIM Revenue Cycle **Weekly Hours:** 40 **Status:** Full time **Shift:** Days (United States of America) As a Coder at ProMedica, you are responsible for accurately coding diagnoses, procedures and other services to ensure medical records and billing are accurate. You will work with providers to ensure documentation is clear and complete and result in accurate coding. You will also review all claim edits and correct errors in a timely fashion. This role will code for practice and hospital charges for all departments supported by the Professional Billing Office. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive. REQUIREMENTS + High School diploma or equivalent + Must be able to pass internal coding test. Proficient in ICD-10-CM, CPT and HCPCS coding. + Minimum of 1 year of physician/professional coding experience in a healthcare system or medical office setting; or equivalent combination of education and experience. + CPC, CCS-P, RHIT or RHIA certification required, or must obtain within 90-dayprobationary period. PREFERRED REQUIREMENTS + Knowledge of professional billing revenue cycle processes. + Knowledge and experience with Epic and other coding applications. + 2+ years of physician/professional coding experience in a health care systemor medical office setting. **ProMedica** is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus (****************************************************** . **Benefits:** We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It's what makes us one of the best places to work, and helps our employees live and work to their fullest potential. Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact **************************** Equal Opportunity Employer/Drug-Free Workplace

Job Description 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. Our team will then quickly contact the patient to discuss the change. If needed, we will schedule a physician's appointment . What's in it for you? Purpose-Driven Work Play a key role in supporting accurate and compliant billing for telehealth services, directly contributing to better healthcare outcomes. Growth Opportunities Advance your career in a growing company that values upskilling, cross-functional collaboration, and continuous learning. Team-Centered Culture Be part of a supportive and collaborative team that values transparency, respect, and professional development. Access to Leadership Work closely with leadership and decision-makers in an environment where your input is valued and your impact is visible. Stability and Structure Enjoy a consistent, full-time schedule with the benefit of working onsite at our& Sciometrix location, where structure and teamwork drive results. Exposure to Innovative Healthcare Models Gain hands-on experience with evolving billing models like telehealth, CCM, and RPM, staying ahead of industry trends. Benefits:& Paid time off, Paid Holidays, 401k with company-paid contributions, Medical, Vision, and Dental Insurance, Royal Oak, MI downtown Paid Parking. About the Role We are seeking a detail-oriented and credentialed Certified Coder to join our Pre-Billing RCM team. This role is critical in ensuring the accuracy and compliance of medical coding for telehealth services prior to claim submission. The ideal candidate will have hands-on experience with coding, billing guidelines, payer-specific requirements, and telehealth regulations. Key Responsibilities Review clinical documentation and patient encounters for completeness and accuracy before claims submission. Assign appropriate ICD-10, CPT, HCPCS, and modifier codes in compliance with telehealth and payer guidelines. Validate coding to ensure medical necessity, compliance, and payer-specific rules. Work closely with physicians, nurse practitioners, and clinical teams to clarify documentation when needed. Flag discrepancies or missing information to reduce claim denials and rejections. Assist the Pre-Billing team in identifying coding trends and recommending process improvements. Ensure compliance with HIPAA, CMS, and telehealth coding standards. Collaborate with billing and AR teams to support clean claims and improve first-pass acceptance rate (FPAR). Stay updated with regulatory changes, payer policies, and industry best practices in telehealth coding and billing. Required Qualifications Certification: CPC, COC, CCS, or equivalent coding certification (AAPC/AHIMA recognized). Experience: 2-4 years in medical coding with at least 1 year in telehealth or outpatient services preferred. Strong knowledge of ICD-10-CM, CPT, HCPCS Level II coding. Familiarity with payer-specific billing requirements (Medicare, Medicaid, and Commercial, CCM , RPM). Working knowledge of EMR/EHR systems and billing software. Excellent communication and documentation skills. High attention to detail and ability to work in a deadline-driven RCM environment. Preferred Skills Experience in telehealth-specific coding, professional CPT coding and modifiers. Knowledge of pre-billing audit processes and denial management trends. Strong analytical and problem-solving skills. Ability to work independently and as part of a collaborative team. Equal Opportunity:& Sciometrix is committed to being an Equal Opportunity Employer, providing equal employment opportunities to all individuals .Sciometrix is committed to being an Equal Opportunity Employer, providing equal employment opportunities to all individualsC

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews 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. Activities include:- Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify Required QualificationsAAPC Coding certification - Certified Professional Coder (CPC)3+ years of experience in medical coding or documentation auditing. Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements Experience with researching coding, state regulations and policies. Working experience with Microsoft ExcelMust be able to travel to provide testimony if needed. Preferred Qualifications2 years or more previous experience with Behavioral Health coding/auditing of records Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) Prior auditing experience Excellent analytical skills Strong attention to detail and ability to review and interpret data Excellent communication skills EducationGED or equivalent AAPC Certified Professional Coder Certification (CPC) Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$43,888. 00 - $102,081. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Direct Hire Hybrid - 1 day a week in Novi Michigan Job Details The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Audit and analyze medical billing inaccuracies and inappropriate charges * Make decisions regarding appropriateness of billing, delivery of care and treatment plans * Collaborate with claims examiner/client and or direct reporting manager on claim issues and/or decisions * Appropriately document work and final conclusions in designated computer program * Work independently, follow process guidelines, meet productivity standards and timelines. (Must maintain a score of 98% or higher on performance audits) KNOWLEDGE & SKILLS: * Certified Professional Coder (CPC) with the America Academy of Professional Coders (AAPC) * Acute care experience - ICU, CCU, ER, OR, or orthopedics (4 yrs) * Medical Billing and Coding - C.P.T. and I.C.D.-10 codes and billing protocols (5 yrs) * Medical Review - medical reports, treatment plans, and billing data for appropriateness of care, treatment duration, and billing accuracy (2 yrs) * Workers' Compensation - claims compensation processes, regulations, and medical necessity standards (preferred) * Computer skills - MS Office Word, Excel, and Outlook * Tools - Medical review/audit, Documentation systems, Data analytics EDUCATION & EXPERIENCE: * CPC - required * Associate's degree in healthcare * RN/LPN preferred with Michigan active license Why work at OpTech? OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! To view our complete list of openings, pleas e visit our website at ***************** OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws. *************************************************

Job Description 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

Under general supervision and according to established procedures, provides technical support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the department. On a daily basis, provides the Coding Manager with departmental statistics such as the monitoring/tracking of Inpatient coder productivity and uncoded figures. Works with the Coding Manager and Coding Educator to identify and resolve coding issues. Serves as the primary contact for outside departments for Inpatient coding related questions. Reports to the Director of Medical Records and the Coding Manager a list of aged accounts. Follow-up with the Medical Records Staff and/or Physician as necessary to obtain required documentation to code all accounts in a timely manner. Provides coding support as directed by the Coding Manager. Essential Functions * Provides technical coding support to the Inpatient Coding Staff and coordinates daily workflow based on the needs of the department and as directed by the Manager of Coding. * On a daily basis, submits to the Manager of Coding departmental statistics such as coder productivity and uncoded figures * Works with the Coding Manager and Coding Educator to identify and resolve coding issues * Reports all aged accounts to the Director of Medical Records and Manager of Coding. Works with the Medical Records Staff and/or Physician to obtain all necessary documentation to code all accounts in a timely manner. * Provides coding/abstracting support as directed by the Manager of Coding * Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD 9 CM and HCPCS diagnostic and operative procedure codes to charts and related records by reference to designated coding manuals and other reference material * Applies Uniform Hospital Discharge Data Set definitions to select the principal diagnosis, principal procedure and other diagnoses and procedures which require coding, as well as other data items required to maintain the Hospital data base. * Applies sequencing guidelines to coded data according to official coding rules. * Assesses the adequacy of medical record documentation to ensure that it supports the principal diagnosis, principal procedure, complications and comorbid conditions assigned codes. Consults with the appropriate physician to clarify medical record information. * Answers physicians/clinician questions regarding coding principles, DRG assignment and Prospective Payment System. Assists Finance, Data Processing and other departments with coding/DRG issues. * Remains abreast of developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature and so forth. * Attends all required Safety Training programs and can describe his/her responsibilities related to general safety, department/service safety, specific job-related hazards. * Follows the Hospital Exposure Control Plans/Bloodborne and Airborne Pathogens. * Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment. * Promotes effective working relations and works effectively as part of a department/unit team inter and intra departmentally to facilitate the department's/unit's ability to meet its goals and objectives * Acts as a liaison with lead technician(s) and provides employee performance feedback as necessary. Performs quality monitoring and works on quality improvement initiatives and projects. Qualifications Required * Associate's degree or equivalent Medical Information Technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD 9 CM coding and prospective payment). * 2 years of relevant experience coding experience in an acute care setting 1 of 4 certifications preferred * CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association * CRT-Registered Health Information Technician (RHIT) - AHIMA American Health Information Management Association * CRT-Coding Specialist, Certified-Physician Based (CCS-P) - AHIMA American Health Information Management Association * CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence. How Corewell Health cares for you * Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. * On-demand pay program powered by Payactiv * Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! * Optional identity theft protection, home and auto insurance, pet insurance * Traditional and Roth retirement options with service contribution and match savings * Eligibility for benefits is determined by employment type and status Primary Location SITE - Family Medicine Center - 44250 Dequindre Road - Sterling Hts Department Name HB HOPD - Family Medicine Troy Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 40 Days Worked Monday - Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling ************.

Job Details 31300 REXWOOD STE A - FARMINGTON HILLS, MI Full Time Bachelor's Degree Day Health CareDescription Job Title: Home Health Coder Position Type: Full-time (On-site) Salary: Market Competitive (Negotiable based on experience and expectations) Hiring Status: Urgent About Safe Hands Home Health Care & Hospice For over 16 years, Safe Hands Home Health Care & Hospice has been a trusted leader in providing compassionate, high-quality in-home health care services across Michigan. Guided by physician-driven programs and a mission to reduce hospitalizations through “hospital-at-home” care, Safe Hands has achieved one of the lowest hospitalization rates in Michigan and nationally. We are now seeking a Home Health Coder to join our dedicated compliance and quality team at our Farmington Hills office. This is a great opportunity for a detail-oriented professional who understands home health documentation, coding standards, and regulatory compliance. About the Role The Home Health Coder plays a vital role in ensuring the accuracy and compliance of patient records. This position is responsible for reviewing OASIS assessments, physician orders, and clinical documentation to assign appropriate diagnosis and procedure codes in accordance with federal and payer guidelines. This role requires precision, compliance awareness, and a solid understanding of home health billing and documentation practices. Responsibilities Review and analyze OASIS documentation, visit notes, and plans of care to assign accurate ICD-10 codes. Ensure coding meets CMS, payer, and agency requirements for medical necessity and reimbursement. Collaborate with clinicians, QA, and intake teams to clarify or verify clinical information. Monitor regulatory changes affecting home health coding and documentation requirements. Participate in internal audits and quality reviews to maintain compliance and accuracy. Maintain confidentiality and adhere to HIPAA and agency policies. Qualifications Qualifications Certification in medical coding (e.g., HCS-D, HCS-O, CPC, or equivalent) required. Prior experience in home health coding or billing is mandatory. Strong understanding of ICD-10-CM coding, OASIS, and CMS regulations. Excellent attention to detail, time management, and communication skills. Proficiency in EMR systems and Microsoft Office. This position does not require a nursing license or clinical background, but knowledge of medical terminology is essential. Why Join Safe Hands Competitive and negotiable compensation based on experience. Supportive, team-oriented work environment. Opportunity to contribute to an organization recognized for excellence and integrity in patient care. Work on-site with a collaborative compliance and coding team. Background Screening Safe Hands Home Health Care & Hospice conducts background screenings on all candidates through the Michigan LARA (Licensing and Regulatory Affairs) system upon acceptance of a contingent job offer. Application Deadline Applications will be reviewed on a rolling basis until the position is filled. Early applications are encouraged.

We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.

We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.

Hours: Monday - Friday 9am - 1:45 pm Must be certified The Pathology Medical Coder is responsible for accurately translating pathology services into standardized medical codes for billing, reporting, and compliance. This role requires in-depth knowledge of coding systems such as ICD-10, CPT, and HCPCS, along with the ability to understand medical terminology and pathology reports. The ideal candidate must ensure that all coding meets regulatory requirements and is performed in compliance with healthcare policies and procedures. Additionally, the coder will be responsible for working all eCW claims for denials and errors, ensuring timely resolution and adherence to billing guidelines. Principal Duties & Responsibilities: Example of Essential Duties: * Review pathology reports and assign the appropriate ICD-10, CPT, and HCPCS codes for all diagnostic and procedural information. * Demographic registration/updates for all patients. * Enters charges into claim entry in eCW. * Assists patients and/or insurance companies with billing and authorization questions. * Analyze and validate the accuracy of diagnosis and procedure documentation in pathology reports to ensure appropriate coding and billing. * Ensure coding practices adhere to national and local coding guidelines, Medicare, Medicaid, and private insurance policies. * Accurately enter and track medical codes in billing and coding software systems. * Collaborate with pathologists, laboratory technicians, and billing departments to clarify coding questions or discrepancies. * Participate in coding audits and assist in identifying opportunities for improving coding accuracy and efficiency. * Regularly review updates in medical coding standards and practices, such as ICD-10 and CPT revisions. * Maintain accurate, detailed, and organized coding and documentation for future reference and audits. * Other duties as assigned. Knowledge, Skills & Abilities: Required: * Strong knowledge of ICD-10-CM, CPT, and HCPCS codes. * Consistently arrives at work, in professional attire, on time and completes all tasks within * established time frame. * Excellent attention to detail and accuracy in coding and documentation. * Proficiency in medical terminology, anatomy, and pathology. * Familiarity with electronic health records (EHR) and laboratory information systems (LIS). * Strong communication skills and ability to collaborate with clinical and administrative teams. * Ability to work independently and meet deadlines. * 1-2 years of medical coding experience, with preference for pathology/laboratory coding. * Familiarity with coding tools like EncoderPro or similar coding software. * Specialized training or coursework in pathology coding (Preferred) Education: * Associate's degree * CPC, CCS, or CCS-P required * Knowledge of medical terminology, anatomy and physiology, treatment methods, patient care assessment, data collection techniques, and coding classification systems Preferred: * Medical Coding education * Previous coding experience

Job DescriptionSalary: Commensurate with Experience AIHFS is seeking a proven Medical Biller and Coder to be responsible for performing medical billing, coding, and other clerical billing duties. Reporting to the Billing Team Leader, the ideal candidate will be proficient in preparing third party insurance billing, tracking payments received, sending client statements, assisting with credentialing, monitoring aging report, and fulfilling related clerical duties. For Full-Time employment, AIHFS offers a Comprehensive Benefit Program: 15 Paid Holidays per calendar year, paid bereavement, paid jury duty leave - effective immediately upon hire Generous Paid Combined Vacation, Sick, and Personal Leave, accrual starts immediately, able to use after 30 days Health, Dental, & Vision Insurance Coverage with no employee premium contribution for single Blue Cross HMO plan, while the Blue Cross PPO plan does include an employee contribution. Coverage available after 30 days. 403(b) Match Program of 50% of employee contribution, up to $5,000 per year, available after 30 days Educational Assistance Program, available after 1 year For Part-Time employment, AIHFS offers the following benefits: Paid Holidays, bereavement, and paid jury duty leave for days that fall on a scheduled work day - effective immediately upon hire Paid Combined Vacation, Sick, and Personal Leave, accrual starts immediately, able to use after 30 days In addition, we are offering a Net Signing Bonus up to $800.00: with $400.00 net bonus paid upon a favorable (90) Day Performance Review and an additional $400.00 net paid bonus with continued favorable Performance Review at 270 days (9 months). Biller Essential Duties and Responsibilities: Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations. Reviews provider coding in patient management system for accuracy. Prepares and submits clean claims to various insurance companies electronically. Follows up on claims pending in the clearinghouse and ensures they are accepted. Follows up on third party payer denials and resubmits claims with any corrections. Tracks insurance and client payments received and records in patient management system. Prepares, reviews, and sends client statements. Answers billing questions from clients, clerical staff, providers, and insurance companies. Identifies and resolves client billing complaints. Ensures all providers are credentialed with insurances. Provides cross training to team workers, as needed. Completes all other assignments as directed by supervisor. Medical Coding Essential Duties and Responsibilities: Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations. Reviews provider coding in patient management system for accuracy. Adds codes, ICD-10/CPT/HCPCS to receive full reimbursement from insurance companies. Unlocks visits, monitor unsigned reports, consultations/encounters and notifications within the EHR system. Identifies errors, inconsistencies, discrepancies and/or trends and discusses the appropriate staff, and advises modification to meet regulatory requirements in EHR. Maintains certifications and CEUs as necessary Completes all other duties as assigned. Agency Responsibilities Attends meetings as requested. Performs other tasks as assigned by administration. Exemplifies excellent customer service with patients, visitors, and other employees; shows courtesy, friendliness, helpfulness, and respect. Demonstrates respect for the capabilities, different cultures and/or personalities of internal and external customers. Relates well and works collaboratively with all levels of staff in a professional manner. Adapts to changing priorities and maintains professionalism under pressure. Takes the initiative to proactively assist others without direct supervision and to resolve problems with other departments and co-workers. Education/Experience : A high school diploma or general education degree (GED) is required. Completion of Medical Billing and Coding certificate program is preferred. Associates degree or two years experience preferred. Required Qualifications: Proficiency in ICD 10 coding and CPT coding guidelines. Proficiency in Microsoft Excel and medical databases. Knowledge in billing requirements for Medicare, Medicaid, and private insurance plans. Knowledge in general office procedures including answering phones, directing calls, photocopying, faxing, etc. Ability to maintain filing systems. Ability to promote an alcohol, tobacco and drug-free work environment. Preferred Requirements: Certified Medical Biller Certified Medical Coder Knowledge of credentialing all providers and follow up on enrollment requests. Experience with CAQH to ensure attestations are done every 120 days. Experience working with Native American communities, is preferred, and respect for cultural and spiritual practices, as well as ability to work effectively with diverse populations. Work Environment/Physical Demands: The characteristics demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to stand; walk; sit and use hands to finger, handle, or feel. The employee is often required to stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 25 pounds and frequently lift and/or move up to 50 pounds. The employee is occasionally exposed to outside weather conditions. The noise level in the work environment is usually moderate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. NATIVE AMERICAN/AMERICAN INDIAN PREFERENCE IN HIRING WILL BE APPLIED AS DEFINED IN THE INDIAN PREFERENCE ACT (TITLE 25, U.S. CODE SECTIONS 472 AND 473).

Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring recruiters looking to hire for the upcoming HEDIS season. HEDIS Course: Includes - Medical Terminology - Introduction to HEDIS - HEDIS Measures (CBP, LSC, CDC, BPM, CIS, IMA, CCS, PPC, etc) - Interview Tips Self-Paced Course https://courses.medicalabstractortemps.com/courses/navigating-hedis-2026

Title: Medical Record Comp Analyst Department Org: Health Info Management - 108890 Employee Classification: B5 - Unclass Full Time AFSCME HSC Bargaining Unit: AFSCME HSC Primary Location: HSC H Shift: 1 Start Time: 0800 End Time: 1630 Posted Salary: $19.27 - $22.59 Float: False Rotate: False On Call: False Travel: False Weekend/Holiday: False Job Description: Responsible for assisting physicians and other clinicians with record completion in compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards, Centers for Medicare and Medicaid Services (CMS) regulations and other regulatory agency requirements. Manage the incomplete record process for physicians and other clinicians. Direct communications, facilitate and trouble shoot for the medical staff and other clinicians relating to their record completion needs. Monitors the physician suspension policy and communicates suspension information to the medical staff, ancillary departments, management and hospital administration. Provide excellent customer service to the medical staff and other clinicians. Monitors documentation quality to ensure standards are met. Minimum Qualifications: 1. Associate degree in Health Information Technology or minimum 5 years' experience in HIT/HIM required 2. RHIT certification preferred 3. 1 year previous experience in medical records required Preferred Qualifications: Conditions of Employment: To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. Pre-employment health screening requirements for the University of Toledo Health Science Campus Medical Center will include drug and other required health screenings for the position. Equal Employment Opportunity Statement: The University of Toledo is an equal opportunity employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation. The University is dedicated to attracting and retaining the best and brightest talent and fostering a culture of respect. The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact HR Compliance at ************************ or ************ between the hours of 8:30 a.m. and 5 p.m. or apply online for an accommodation request. Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus.

The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. We are seeking motivated and dependable Medical Records Technician (Coder - Outpatient and Inpatient)! This position is located in the Health Information Management (HIM) section at the John D Dingell VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician based settings Total Rewards of a Allied Health Professional GS-04 Select and assign codes from current versions of ICD Clinical Modification, CPT, and HCPCS classification systems to both inpatient and outpatient records. Review record documentation to abstract all required medical, surgical, ancillary, demographic, social and administrative data, and query clinical staff, as appropriate, with close guidance from higher level MRTs (Coder). GS-05 Select and assign codes from current versions of ICD CM, CPT, and HCPCS classification systems to both inpatient and outpatient records. Review record documentation to abstract all required medical, surgical, ancillary, demographic, social and administrative data, and query clinical staff, as appropriate, with guidance from higher level MRTs (Coder). GS-06 Select and assign codes from current versions of ICD CM, CPT, and HCPCS classification systems to both inpatient and outpatient records. Review record documentation to abstract all required medical, surgical, ancillary, demographic, social and administrative data, and query clinical staff, as appropriate, with limited guidance from higher level MRTs (Coder). GS-07 Perform coding on outpatient episodes of care and/or inpatient professional services. Select and assign codes from current versions of ICD CM, CPT, and HCPCS classification systems. Review record documentation to abstract all required medical, surgical, ancillary, demographic, social and administrative data, with minimal guidance from higher level MRTs (Coder). Review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. Review provider health record documentation to ensure that it supports the diagnostic and procedural codes assigned and is consistent with required medical coding nomenclature. Query clinical staff with documentation requirements to support the coding process. GS-08 Perform the full scope of inpatient and outpatient coding duties including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation, and management services. Review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. Code all complicated and complex disease processes, patient injuries, and all procedures in a wide range of ambulatory settings and specialties. Consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm EST. Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: This position is currently authorized for telework - Location negotiable, incumbent must live within 50 mile radius of a VA Medical Center. to meet the Return to Office Executive Order requirements, selected candidates may be required to Return to Office. This will be discussed during the interview process. Remote/Virtual: This position is currently designated as remote. Remote work is defined as full-time employment conducted outside of a VA facility or in VA-leased spaces. The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. Virtual: This is not a virtual position. Functional Statement #: 93922A,93923A,93934A,93925A,93926A Permanent Change of Station (PCS): Not Authorized

Job DescriptionBenefits: 401(k) 401(k) matching Competitive salary Employee discounts Free uniforms Opportunity for advancement Paid time off Training & development Vision insurance Benefits/Perks Flexible Scheduling Competitive Compensation Career Advancement Job Summary We are seeking a Medical Records Clerk / Front Desk to join our team. In this role, you will collect patient information, process patient admissions, and be responsible for the general organization and maintenance of patient records. The ideal candidate is highly organized with excellent attention to detail. Responsibilities Follow all practice procedures in the accurate maintenance of patient records Deliver medical charts to various practice departments Ensure all patient paperwork is completed and submitted in an accurate and timely manner File patient medical records and information Maintain the confidentiality of all patient medical records and information Provide practice departments with appropriate documents and forms Process patient admissions and discharge records Other administrative and clerical duties as assigned Qualifications Previous experience as a Medical Records Clerk or in a similar role is preferred Knowledge of medical terminology and administrative processes Familiarity with information management programs, Microsoft Office, and other computer programs Excellent organizational skills and attention to detail Strong interpersonal and verbal communication skills

Medical Records Specialist Full time, days The state-of-the-art 192-bed hospital was developed to address the growing need for accessible and evidence-based mental healthcare. It offers a full continuum of inpatient behavioral health services for adults, seniors and adolescents, including specialized treatment for acute symptoms of mood disorders, thought disorders and dual diagnosis/substance use disorders. With flexible treatment spaces and enhanced family visitation accommodations and located in an area known for its quiet and natural beauty, the hospital offers a compassionate, healing-focused environment for patients and staff alike. PURPOSE STATEMENT: Perform clerical duties associated with obtaining, completing and maintaining a patient medical records. Responsibilities ESSENTIAL FUNCTIONS: Sort, file and collate a variety of medical records and information such as progress notes, treatment plans, nursing/clinical notes and discharge summaries into the patient's medical record. Create medical record files. Ensure medical records are complete, accurate and timely. Research lost or missing records/information in accordance with established procedures. Answer requests for medical records from outside agencies and third-party sponsorship. May communicate with transcriptionist or transcription vendor to resolve issues/errors regarding reports. Assist designated staff in locating records in the medical records department. Maintain accurate logs, card files, statistics and information release forms for providing medical record information. Ensure medical record is complete prior to filing/re-filing and accurately update log. Perform medical record audits. OTHER FUNCTIONS: Perform other functions and tasks as assigned. Qualifications EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: High school diploma or equivalent required. Experience in quantitative medical record reviews preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: Not applicable We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT, HCPCS, ICD used in the development and maintenance of Benefit Administration Manual policies and HAP's coverage tool (Master Tiering Database) as well as actively participate in various HAP code-related committees and ad hoc projects. PRINCIPLE DUTIES AND RESPONSIBILITIES: * Conduct research for development and update of codes for Benefit Administration Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other issues such as new technology. Maintain organized documentation of findings from research as well as proposed resolutions. * Research all types of codes (e.g., CPT, HCPCS, ICD) including new codes, existing codes, additions and deletions of codes, use of modifiers, and revenue codes to be compliant with Medicare rules and regulations, the Medicare Billing Manual, the American Medical Association, or any adopted resource used in Benefit Administration Manual policies and the Master Tiering Database as needed and on a quarterly or yearly basis. * Assist with preparing draft Benefit Administration Manual (BAM) policies with correct codes ensuring that all Medicare covered codes are found on the BAM, new codes are on the correct BAM, and codes are aligned with benefit coverage and contractual obligations. * Participate in Medical Policy Team and HAP code-related committee meetings to resolve coding questions related to claims, configuration, benefits, new technology, fraud, compliance, and any other issue. Aside from committee meetings, assist with claims resolution issues as needed. * Assist in requesting and tracking any system configuration changes completed by the Benefit Configuration Team (BCT) and work with BCT on coding changes approved by the Utilization Management Committee or leadership. * Work with the Medical Policy Team on communications issues related to compliance, billing, new procedures codes, or other matters for inclusion in interdepartmental documents. * Provide ad hoc research and guidance for special projects as needed. * Maintain/enhance professional and technical knowledge through educational workshops and reviewing professional publications as it pertains to Benefit Administration Manual policies, claims processing decisions, and coding credentials. This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above. EDUCATION/EXPERIENCE REQUIRED: * Associate degree required in Health Information Management (HIM), Health Information Technology (HIT), healthcare, health service, or public health related field, required. * Bachelor's degree or equivalent work experience in healthcare, health service, or public health related field, highly preferred. * At least three (3) years of coding experience/proficiency in diagnostic and procedural coding, required. * Wide range of prior coding experience working with both physicians/medical groups/physician offices and hospitals, preferred. * Strong knowledge of ICD-10-CM coding and guidelines. * Knowledge of medical billing and third-party payer regulations. * Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. * Knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. * Experience with computer software programs such as Microsoft Office products, Adobe Pro, and others used for data collection. * Excellent quantitative, analytical, and problem-solving skills and ability to organize and manage multiple priorities. * Excellent written and oral communication skills, ability to collaborate with multiple HAP departments, and work independently to achieve desired results. CERTIFICATIONS/LICENSURES REQUIRED: * Certified Professional Coder (CPC) required but Certified Coding Specialist (CCS) and/or Certified Coding Specialist-Physician (CCS-P), highly preferred. Additional Information * Organization: HAP (Health Alliance Plan) * Department: Medical Policy * Henry Ford Health Location: HAP (Health Alliance Plan) * Shift: Day Job * Union Code: Not Applicable

Job Details Howell, MI Part Time Not Specified $18.00 - $20.00 Hourly None Day Administrative SupportDescription Benefits Referral program 401(k) w/employer match Health insurance Vision insurance Dental insurance Professional Development Paid Time Off Disability Insurance SUMMARY: Our associates deliver a higher standard of business services to support medical care and behavioral health care. We maintain professionalism, integrity, and commitment as we solve problems and make lives easier. ESSENTIAL FUNCTIONS: Retrieve medical charts for all healthcare staff as requested File daily all currently used medical records Assure that charts are counter-signed by physician and checks charts for completeness Releases information at the direction of the Sheriff, Site Nursing Supervisor, or Site Physician Secures all active and inactive medical records Answers telephone takes messages and makes telephone calls Type's letters, reports, and memorandums Schedules off site appointments as requested by practitioner/nursing staff Maintains a roster or appointment book based on scheduled appointments for both on-site and offsite appointments Orders, receives, and maintains medical or office supplies Adheres to safety and security policies and participates in disaster drills Ability to deal with and respond to stressful situations in a stressful environment Requires regular and reliable attendance Ensure the confidentiality of all medical records information Performs all clerical duties related to the assembling and maintaining of medical records, including initiating records for new detainees Maintains accountability for the location of any medical record on file, log in and out all record jackets received or sent out Maintains all files in established systems with all materials properly arranged and affixed within, filing material as received Directly responsible to pull records and deliver for clinical use, re-file records upon completion of use Pulls records and performs studies as requested by the nursing supervisor Assists with tracking of statistical data for CQI reports. Completes reports and performs other duties as assigned by the Health Services Administrator/Site Manager Notifies supervisor and completes report for incidents or accidents Any and all other duties as assigned Qualifications High school graduate or equivalent At least two years of specialized experience and/or training in keeping medical records Ability to work with people and work under pressure Basic Life Support (BLS) certification; hands-on training

Description: Ready for a change? Are you an Experienced DME Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT? APPY NOW! - Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!! NEW HIRE ORIENTATION STARTS 10/8 Medical Biller is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies. The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction. Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner. Demonstrate a high level of expertise in the management of denied claims and deploy an analytical approach to resolving denials while recognizing trends and patterns in order to proactively resolve recurring issues. Communicate identified denial patterns to management. Prioritize and process denials while maintaining high quality of work. Serve as an escalation point for unresolved denial issues. Inform team members of payer policy changes. Assist in educating employees when needed. Collaborate on special projects as needed. Assist manager of additional tasks as needed. We are located at 50496 Pontiac Trail, Wixom MI 48393 - this position is full time in office. Please check the distance to be sure you are able to make the daily commute. Essential Responsibilities and Tasks Reviews denied claims to ensure coding was appropriate and make corrections as needed. Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers. Investigate claims with no payer response to ensure claim was received by payer Strong understanding of payer websites and appeal process by all payers including commercial and government payers including Medicare, Medicaid, and Medicare Advantage plans Reviews and finds trends or patterns of denials to prevent errors Assists and confers with coder and billing manager concerning any coding problems. Strong research and analytical skills. Must be a critical thinker. Stays current with compliance and changing regulatory guideline. Demonstrates knowledge of coding and medical terminology in order to effectively know if claim denied appropriately and if appeal is warranted. Supports and participates in process and quality improvement initiatives. Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements. Position Type This is a full-time 40 hour work week. Monday -Friday day shift. Occasional evening and weekend work may be required as job duties demand. Requirements: Three or more years of DME billing/coding experience is required. Collections of insurance claims experience. Medicare and/or Medicaid background. Durable Medical Equipment (DME) experience. EDI transmission experience preferred. High school diploma or GED diploma Other Duties All other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are request of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.