Post job

Medical coder jobs in Michigan

- 236 jobs
  • Health Information Technician

    Nmble Medical

    Medical coder job in Grand Rapids, MI

    Nmble Medical is partnering with a respected healthcare organization in the Greater Grand Rapids area to hire a detail-driven Health Information Technician (HIT). If you're passionate about accuracy, compliance, and supporting high-quality patient care, this is an excellent opportunity to join a trusted clinical team. Key Responsibilities Medical Records Management Maintain, update, and organize patient health records within the EHR system. Ensure accuracy, completeness, and timely access to records. Conduct regular audits to identify and correct documentation gaps or errors. Data Integrity & Compliance Review documentation and coding for accuracy. Support chart completion, deficiency tracking, and provider follow-up. Ensure adherence to HIPAA, state regulations, and internal policies. Release of Information (ROI) Process record requests from patients, providers, legal representatives, and external partners. Validate authorization forms and protect all PHI in compliance with privacy law. Coordinate secure transmission of medical information. Administrative & HIM Support Assist with scanning, indexing, and document imaging workflows. Support reporting, billing documentation, and quality improvement initiatives. Respond to inquiries from clinicians and staff regarding documentation and record access. Qualifications Required High school diploma or equivalent. 1-2 years of experience in Health Information Management or medical records. Strong knowledge of HIPAA and confidentiality standards. Experience using EHR systems (Epic, Cerner, or similar). High attention to detail and organizational skills. Preferred Associate's degree in Health Information Management or related field. RHIT or RHIA certification (or eligibility). Previous HIM experience in a hospital or clinical setting. Familiarity with ICD-10, CPT, and documentation standards. Core Competencies Exceptional accuracy and attention to detail Strong communication and customer service abilities Ability to handle sensitive information with professionalism Skilled in multitasking and prioritizing in a fast-paced environment Team-oriented mindset
    $28k-37k yearly est. 4d ago
  • Records Management Specialist

    Forrest Solutions 4.2company rating

    Medical coder job in Grand Rapids, MI

    Job Title: Records Clerk Pay Rate: $22.00/hr Schedule: Monday-Friday, 8:00 AM-5:00 PM Travel: Occasional travel to Kalamazoo (approximately once every two months for coverage) We are seeking a detail-oriented and tech-savvy Records Clerk to support our busy Records Department within a fast-paced law firm environment. This onsite role works closely with the Records Lead and requires a strong customer-service mindset, as the area experiences significant foot traffic from internal staff and attorneys. Key Responsibilities: Organize, maintain, retrieve, and store physical and electronic records Provide in-person support to attorneys and staff in a high-traffic Records Room Collaborate closely with the Records Lead to ensure accurate handling of confidential legal documents Complete administrative tasks such as scanning, copying, filing, and document indexing Troubleshoot basic technical issues related to document management systems and repro equipment Travel to the Kalamazoo office as needed (approximately once every two months) Ensure compliance with firm policies and records retention procedures Qualifications: Experience in office administration, records management, or reprographics preferred Strong technical aptitude; comfortable with document management systems, scanners, and office equipment Excellent problem-solving skills, attention to detail, and ability to manage multiple requests Strong interpersonal skills and comfort working in a busy, walk-up service environment Ability to maintain confidentiality and handle sensitive legal documents appropriately All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $22 hourly 2d ago
  • Coder

    Quality Talent Group

    Medical coder job in Detroit, MI

    Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. to help train the next generation of programming-capable AI models!
    $32 hourly 3d ago
  • Inpatient Coder

    Suny Downstate Medical Center 3.9company rating

    Medical coder job in Lansing, MI

    Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Bargaining Unit: UUP Job Summary: The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Inpatient Coder. Reporting to the Coding Manager and to the Director of the Health Information Management, the successful candidate will: * Abstract clinical information from the medical record and assign appropriate ICD-10cm and ICD-10PCS or CPT codes according to established procedures. * Maintain optimal standard of coding and assume uniformity of coding for compliance and reimbursement. * Ensure the selection of accurate and descriptive codes from the appropriate classification system. * Ensure the confidentiality of data contained on the patients' medical records. * Analyze the information contained in the medical record to ensure that the most appropriate codes are used. * Query the physicians for appropriate documentation. * Work collaboratively with all department and hospital staff. * Perform other related duties as assigned. Required Qualifications: * RHIA or RHIT or CCS coding certification. * 1+ year in a supervisory/administrator capacity. * Ability to make coding decisions based on use of established coding guidelines. * Ability to work independently and be a self-starter. Preferred Qualifications: * Bachelor of Science Degree with related Health Information Management experience, and 3-5 years direct coding experience in an acute care setting preferred. Work Schedule: Monday to Friday; 9:00am to 5:00pm Salary Grade/Rank: SL-2 Salary Range: Commensurate with experience and qualifications Executive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ************** or via email at ****************. Equal Employment Opportunity Statement: SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws. Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at *****************
    $42k-50k yearly est. 60d+ ago
  • Medical Coder

    Yeo & Yeo Cpas & Business Consultants 3.4company rating

    Medical coder job in Saginaw, MI

    Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals who have the desire and drive to grow Career paths are not do-it-yourself at MBC. You will be equipped with career development and advocacy experiences, career ladder choices, support in advancing to leadership positions, and a successful integration of your personal and professional life. When it comes to delivering outstanding business solutions, only the best people make that happen. With over 200 professionals across our family of Yeo & Yeo companies, you join a diverse team of passionate, forward-thinking people collectively working together to positively impact our clients and our communities. Position Summary The Medical Coder will review medical records, verify coding accuracy, and code ICD-10 and CPT for a variety of medical specialties. Will work as a coding contact and resource for Billing Staff. The Medical Coder will possess excellent communication and customer service skills while striving to maintain an efficient and productive office. Key Objectives Analyzes clinical information from medical records and assigns the appropriate CPT and ICD-10 codes using industry-standard coding guidelines for various specialties Maintains up-to-date knowledge of coding and documentation requirements Assist staff with coding questions Some medical billing duties Educates client providers and staff on documentation & coding guidelines and changes to ensure compliance with state and federal regulations Provides measurable, actionable solutions to client providers that will result in improved accuracy for documentation and coding best practices Ensure clients are assisted in a courteous and expedient manner Meet and exceed goals set forth through the annual performance evaluation process Growing use and knowledge of applicable company technology, paperless systems, tools and processes Qualifications Associates Degree, Business Administration or equivalent; or the combination of education and work experience that enables the performance of all aspects of the position is required AAPC Certified Professional Coder (CPC) Ability to code conditions and procedures using ICD-10-CM and CPT Knowledge of medical terminology and anatomy Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems Use of computer systems, software, 10 key calculator Effective communication abilities for phone contacts with insurance payers to resolve issues Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds Able to work in a team environment. Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Knowledge of accounting and bookkeeping procedures. Strong communication and presentation skills Proven relationship building skills with clinical and non-clinical personnel Preferred Qualifications Certified Professional Medical Auditor (CPMA) certification Actively pursue learning and development opportunities Participate actively in all on-the-job and formal learning and development opportunities to understand role and responsibilities Ability to accept and adjust to changing priorities and circumstances Leadership Reports to direct supervisor Take charge and be action-oriented and persist until the task or job is completed Learn and understand how position is critical to the success of the organization and be willing to accept responsibility and be accountable for own actions Technology Experience with Microsoft Office Medical Billing workflow software Understand and stay current on new technology Benefits & Perks! At Yeo & Yeo, we offer a great career with industry-leading benefits, and that's why we're repeatedly ranked among Michigan's Best Places to Work. Some of our benefits include competitive salaries; generous PDO/paid holidays, excellent medical, dental and vision plans; bonuses; referral programs; life insurance; 401(k) plan; community service opportunities; dress for your day attire; continuous feedback and so much more. We focus on developing our careers and prioritize fostering each person's unique talents and strengths. We succeed as a team when our individuals succeed. We celebrate our successes and take time to cultivate our friendships. From team retreats and office (and Zoom) parties to our Yeo & Yeo sports teams - we love what we do and having fun too! I'm in. Now what? Apply today and move one step closer to joining a firm of enthusiastic, caring, creative and smart problem solvers working together toward a common goal - helping our clients thrive. Interested applicants must submit their resume for consideration using our applicant tracking system. Candidates must be legally authorized to work in the United States without sponsorship. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and become the property of Yeo & Yeo. Yeo & Yeo is an Equal Opportunity Employer and maintains a drug-free workplace.
    $42k-53k yearly est. Auto-Apply 35d ago
  • Coder I

    Lifepoint Hospitals 4.1company rating

    Medical coder job in Marquette, MI

    " UP Health System - Marquette Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. UPHS - Marquette is a 222 bed hospital and houses the region's only Level II Trauma Center and Neonatal Intensive Care Unit (NICU). We also provide outreach with programs like annual health and safety fairs, health screenings for the entire family and more to keep our community healthy! Where We Are: In Marquette our fascinating history, rural landscape, abundant recreational opportunities, and welcoming people make the Upper Peninsula someplace special. From a thriving culinary scene to charming shops to historic lighthouses and museums, there is something for everyone in this beautiful lakeside gem. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time Off / Extended Illness Bank package for full-time employees Employee Assistance Program - mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants Opportunities for education and training through partnership with Duke LifePoint Healthcare And much more… Position Summary: Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Reports to: Supervisor/ Manager FLSA: Non-exempt ESSENTIAL FUNCTIONS: Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation. Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature. JOB REQUIREMENTS: Minimum Education X High school diploma or equivalent □ Preferred X Required X Associate's degree X Preferred □ Required * Years of relevant experience may be substituted for required education. Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Required Skills Licenses: X Valid Michigan driver's license □ Preferred X Required Required Skills Certifications: X Certified Ambulance Coder □ Preferred X Required (within 90 days) Minimum Work Experience X 1 year coding experience X Preferred □ Required EEOC Statement: UP Health System - Marquette is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law. Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran "
    $50k-59k yearly est. 42d ago
  • Certified coder

    Sciometrix

    Medical coder job in Royal Oak, MI

    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
    $38k-56k yearly est. 9d ago
  • CODER III

    Direct Staffing

    Medical coder job in Grand Rapids, MI

    3-5 years experience preferred Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT)-4 / Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and assignment of APC's and all required modifiers. Utilizes coding guidelines established by the Centers for Medicare/Medicaid Services (CMS), American Hospital Association (AHA) Coding Clinic for ICD-9-CM, American Medical Association (AMA) for CPT-4 codes and CPT Assistant, American Health Information Management Association (AHIMA) Standards of Ethical Coding, Unified Revenue Organization/Ministry Organization (URO/MO) coding policies and Trinity Health Coding Manual (TBA). SKILLS AND CERTIFICATIONS Bachelor's Degree in HIM preferred Registered HIT and/or Certified Coding Specialist (CCS) preferred Registered HIA preferred 1 year experience coding INPATIENT records IDEAL CANDIDATE The ideal candidate has at least 1 year experience coding inpatient records in an acute setting. Although the job description requires only an Associates, we are really looking for someone who a) has a Bachelor's degree in HIM, b) is a Registered Health Information Technician (RHIT), c) is a Certified Coding Specialist (CCS), or d) is a Registered Health Information Administrator (RHIA). IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES): Other healthcare organizations comparable in size with acute inpatient coding experience. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc
    $37k-53k yearly est. 18h ago
  • Medical Coding Specialist, Provider Transformation

    Homeward 4.2company rating

    Medical coder job in Michigan

    Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care. Our vision is care that enables everyone to achieve their best health. So, we're creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives - taking full financial accountability for clinical outcomes and the total cost of care across rural counties. As a public benefit corporation and Certified B Corp™, Homeward's mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care. Homeward is co-founded by a leadership team that defined and delivered Livongo's products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need. The Opportunity We are seeking a Medical Coding Specialist to join our growing team and support Homeward's External Provider Transformation efforts. This individual will play a critical role in reviewing, auditing, and analyzing clinical documentation from external provider partners, ensuring accurate and complete coding of conditions. You will work alongside our manager to translate chart insights into feedback that improves documentation quality, supports proper reimbursement, and This is an ideal role for a proactive, detail-oriented coder with deep knowledge of multiple specialties, exceptional judgment, and experience supporting external practices or provider networks. What You'll Do Chart Review & Coding Accuracy Review medical documentation to assign appropriate ICD-10, CPT, and HCPCS codes for billing and data collection. Ensure that all diagnosis codes submitted are fully supported by the medical record and documentation is complete, accurate, and compliant. Apply DSP (Diagnosis/Status/Plan) methodology to assess whether a condition is valid for coding and meets documentation criteria. Documentation Auditing & Feedback Identify trends in missed coding opportunities, unsupported diagnoses, and potential compliance concerns. Summarize audit findings to inform manager-led provider feedback sessions. Denial Management Work to identify, analyze, and resolve insurance claim denials. Escalate concerns related to unsupported, invalid, or ambiguous documentation. Payer & Claims Reconciliation Support Cross-check codes submitted by external practices against EMR and documentation evidence. Support supplemental file preparation and reconciliation efforts with payer partners. Collaboration & Enablement Support Collaborate with your manager to align chart findings with education needs. Participate in cross-functional team meetings, retrospectives, and workflow refinements. Help shape internal workflows and dashboards that scale coding effectiveness across the Provider Transformation program. Special Projects Participate in and lead special projects related to coding and billing, such as new service line implementation or vendor management. What You Bring 2+ years of experience in multi-specialty coding, including but not limited to: inpatient, outpatient, surgery, radiology, lab, rehabilitation services, primary care, ED/OBS, SNF/NH, and Swingbed. One of the following: Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC), Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA). ● Deep expertise in all code sets ICD-10-CM, CPT, HCPCS II, & ICD-10-PCS. ● Strong familiarity with outpatient and primary care clinical documentation, including E/M coding patterns. Knowledge of regulations: Demonstrate a comprehensive understanding of payer policies and government regulations, including National Correct Coding Initiative (NCCI) and HIPAA. Comfort working independently, prioritizing workload, and managing tight review timelines. Bonus Points Experience working with Rural Health Care, Critical Access Hospitals, or small hospitals. ● Background working with external provider groups or vendor-contracted practices. ● Experience building coding workflows from scratch or iterating in an early-stage environment. Certified Professional Biller (CPB) Experience working in any other areas of RCM (patient registration, prior authorization, eligibility and benefits, charge capture, payment posting, insurance & claim follow-up, or patient payments & delinquent accounts. What Shapes Our Company Deep commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health Compassion and empathy Curiosity and an eagerness to listen Drive to deliver high-quality experiences, clinical care, and cost-effectiveness ● Strong focus on sustainability and scalability of our services Nurturing a diverse workforce with a wide range of backgrounds and points of view ● Taking our mission seriously - but not ourselves too seriously; we have fun as we build Benefits Competitive salary and equity grant Paid Time Off 12 company paid holidays & 2 personal holidays 100% of employee premiums covered for medical, dental & vision insurance ● Company-sponsored 401k plan Ongoing professional development opportunities The base salary range for this position is $50,000K - $68,000K annually. Compensation may vary outside of this range depending on a number of factors, including a candidate's qualifications, skills, location, competencies and experience. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package. At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams. Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. #LI-KB1
    $32k-41k yearly est. Auto-Apply 60d+ ago
  • Hospital Outpatient Surgery Coder

    Kode Health Inc.

    Medical coder job in Holland, MI

    Job DescriptionDescription: Hospital Outpatient Surgery Coder Under direct supervision from the Director of coding, the Outpatient Coder reviews facility outpatient surgery medical records. The Coder works independently daily and is responsible for assigning codes with a high degree of accuracy. II. PRIMARY JOB RESPONSIBILITIES: Reviews outpatient medical records to assign ICD, CPT, HCPCS codes accurately Meets and exceeds productivity and quality standards (target is 6.25/hour) Reviews physician documentation to code accurately Updates charges (as needed) and processes the records in a timely manner Reviews tasks and corrects codes as needed Provide training to fellow staff to improve coding outcomes as needed III. ADDITIONAL JOB RESPONSIBILITIES: Performs miscellaneous job-related duties as assigned. IV. POSITION QUALIFICATIONS: Education: High School Diploma or GED Required with completion of a coding certification program Associate's degree in health information management or similar preferred Experience: Minimum 2 years of outpatient coding experience in hospital facility and/or professional coding ICD-10, CPT, HCPCS experience required Minimum 2 years' experience that are directly related to the duties and responsibilities specified above. Licensure/Credentials: Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS) Knowledge, Skills, and Abilities: Working knowledge of coding guidelines Ability to use independent judgment and to manage and impart confidential information. Advanced knowledge of medical coding, electronic medical record systems, coding systems. Ability to analyze and solve problems. Strong communication and interpersonal skills. Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation. Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment. Requirements:
    $37k-53k yearly est. 29d ago
  • Senior Certified Professional Coder, Special Investigations Unit (Aetna SIU)

    CVS Health 4.6company rating

    Medical coder job in Lansing, MI

    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. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. **Activities include:** + Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. + Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. + 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. + Independently research and accurately apply state or CMS guidelines related to the audit. + 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. + Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics. + Mentor New Coders, providing training, coding, and record review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Act as management back-up and supports the team when the manager is out of the office. + Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. **Required Qualifications** + AAPC 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 and policies. + Experience with Microsoft products; including Excel and Word + Prior experience auditing others' work and providing feedback. + Experience mentoring others. + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 3+ 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) + Licensed Professional Counselor (LPC) + Excellent communication skills + Excellent analytical skills + Strong attention to detail and ability to review and interpret data. **Education** + AAPC Certified Professional Coder Certification (CPC) + GED or High School diploma **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This 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 ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $47k-112.2k yearly 9d ago
  • Grade 5 Medical Coding Technician

    St. Clair County Communi 3.4company rating

    Medical coder job in Port Huron, MI

    This vacancy is open until filled. ESSENTIAL FUNCTIONS: An employee in this classification is required to perform some or all of the following duties, however these do not include all of the tasks which the employee may be expected to perform: provide support services to Administration and Operations; extensive knowledge of CPT/HCPCS and ICD-10, knowledge of spreadsheet and word processing, knowledge of medical documentation requirements for both mental health and physical health, experience working with medical records, extensive knowledge of Evaluation and Management guidelines, experience interacting with medical staff and prescribers, experience with billing, excellent organizational skills, compliance with pertinent rules and regulations as they pertain to area of responsibility; other related tasks as assigned; comply with Alcohol & Drug Testing Policy (06-001-0010) and Background Check Policy (06-001-0015), as well as supervisors/designee directives; maintain confidentiality. St. Clair County Community Mental Health embraces an employment environment that promotes recovery and discovery, a person-centered approach to treatment services, and cultural competence. An employee in this or any position is expected to support the employment environment. SUPERVISORY RESPONSIBILITIES: There are no supervisory responsibilities with this position. This position receives supervision from the Support Services Director. MINIMUM QUALIFICATIONS: Technical Skills Education: - High School Diploma or GED (general educational development certificate) - Medical Coding and Billing program participation Licensure: - Valid Michigan Driver's license - Certification as a (CPC) Certified Professional Coder required, or CCS (Certified Coding Specialist) or RHIT (Registered Health Information Technology) Experience/Skills: - Demonstration of ability to use Word, Excel and Access software programs - Up to three (3) years' experience with coding, billing or in a related field - Knowledge of Community Mental Health Treatment Programs and Relevant Policies - Areas as Assigned Other: - Must have access to transportation - Must be willing to attend out of county activities/meetings Behavioral Skills Applicants chosen for interview will be evaluated on qualifications related to: - Ability to exercise discretion in selecting an optimal solution from among established alternatives with a clear outcome - Ability to use or exert influence in a work process - Ability to be a “work leader” or advise others - Ability to provide, exchange, or explain information which, in addition to conveying facts, conveys an opinion or evaluation of the faces or analyses - Ability to deal with minor conflicts tactfully PREFERRED QUALIFICATIONS: Technical Skills Education: - Associate's degree or relevant schooling Licensure: - Other relevant certifications (AAPC or AHIMA) - RHIA - Registered Health Information Administrator Experience/Skills: - Proficient in Agency operating systems and application software - Five plus years' experience in Public Mental Health Field - Lived experience with behavioral health issues Other: - None Behavioral Skills - None PERSONAL DEMANDS: Personal demands refer to the physical demands, such as awkward positions, heavy lifting, etc., and the mental demands, such as concentration, attention, perception, etc. While performing the duties of this job, the employee would expect light, regular physical demand, such as constant standing or walking; close attention, such as observation of gauges, timers, etc. The employee must occasionally lift and/or move up to 25 pounds. WORK ENVIRONMENT: Work environment refers to the elements of work surroundings which tend to be disagreeable or to make the work more difficult. These include, but are not limited to: dust, oil, fumes, water, heat, cold, vibrations, noise, dirt, etc. While performing the duties of this job, the employee would expect that disagreeable elements are negligible. Good light and ventilation; reasonable quiet. Disclaimers: To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Any offer of employment is contingent upon a criminal background check, reference checks, Recipient Rights check, DHHS Central Registry check (for direct-care candidates), and a five (5) panel drug screen. Potential candidates will be sent to Industrial Health Service for the drug screen at their own expense. The candidate will be reimbursed the cost of the drug screen upon the Agency's receipt of negative test results. This position is represented by AFSCME Local 3385. Postings close at 11:59pm on the Applications Close Date. Internal candidates are given first consideration.
    $39k-49k yearly est. Auto-Apply 60d+ ago
  • Coder I

    Cottonwood Springs

    Medical coder job in Escanaba, MI

    " UP Health System - Marquette Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. UPHS - Marquette is a 222 bed hospital and houses the region's only Level II Trauma Center and Neonatal Intensive Care Unit (NICU). We also provide outreach with programs like annual health and safety fairs, health screenings for the entire family and more to keep our community healthy! Where We Are: In Marquette our fascinating history, rural landscape, abundant recreational opportunities, and welcoming people make the Upper Peninsula someplace special. From a thriving culinary scene to charming shops to historic lighthouses and museums, there is something for everyone in this beautiful lakeside gem. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time Off / Extended Illness Bank package for full-time employees Employee Assistance Program - mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants Opportunities for education and training through partnership with Duke LifePoint Healthcare And much more… Position Summary: Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Reports to: Supervisor/ Manager FLSA: Non-exempt ESSENTIAL FUNCTIONS: Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation. Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature. JOB REQUIREMENTS: Minimum Education X High school diploma or equivalent □ Preferred X Required X Associate's degree X Preferred □ Required *Years of relevant experience may be substituted for required education. Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Required Skills Licenses: X Valid Michigan driver's license □ Preferred X Required Required Skills Certifications: X Certified Ambulance Coder □ Preferred X Required (within 90 days) Minimum Work Experience X 1 year coding experience X Preferred □ Required EEOC Statement: UP Health System - Marquette is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law. Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran "
    $35k-50k yearly est. Auto-Apply 60d+ ago
  • Medical Records Coder Senior

    Corewell Health

    Medical coder job in Sterling Heights, MI

    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 ************.
    $44k-67k yearly est. 20d ago
  • Coding Specialist - Cass City

    Aspire Rural Health System 4.4company rating

    Medical coder job in Cass City, MI

    Position: Coding Specialist Department: Health Information Management Location: Cass City, MI Hours: Full-Time. Full-Benefits. Days Aspire Rural Health Systems is seeking a Coding Specialist in our Health Information Management department. We are looking for those who have a great attitude to join our dedicated team of healthcare professionals who are constantly striving to provide the highest quality of services for our patient. Requirements: CPT Coding, HCPCS Coding, ICD-10 Coding and Revenue Coding, Data Processing, Accounts Receivable Collections, Excel, Word and other office equipment High School Diploma, Certification from AAPC or AHIMA 5 years with hospital or physician coding and/or auditing In depth knowledge of ICD CM, ICD PCS and CPT/HCPCS Strong analytical and communication skills Responsibilities: Responsible for conducting coding and billing training programs for billing and coding specialists and physicians. Creates presentations, develops learning material and other training material. " We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law ."
    $33k-42k yearly est. Auto-Apply 60d+ ago
  • Professional Review Nurse - Certified Professional Coder (CPC)

    Optech 4.6company rating

    Medical coder job in Novi, MI

    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. *************************************************
    $43k-60k yearly est. 51d ago
  • Home Health Coder

    Safe Hands Home Health & Hospice

    Medical coder job in Farmington Hills, MI

    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.
    $41k-62k yearly est. 21d ago
  • Outpatient Professional Coder

    Apidel Technologies 4.1company rating

    Medical coder job in Farmington Hills, MI

    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
    $44k-60k yearly est. 17d ago
  • Medical Records Clerk

    Heartland Hospice 3.9company rating

    Medical coder job in Flint, MI

    Expand Access. Ensure Compliance. Support Compassionate Care. We are seeking a dependable and detail-oriented Medical Records Clerk to join our hospice care team. In this vital administrative role, you will manage and maintain accurate patient records, ensure compliance with healthcare regulations, and provide essential office support to help our team deliver exceptional care. Your work enables our caregivers to focus on what matters most-making every moment count. Essential Functions: Maintain and close medical records in accordance with company policy. Review medical records to ensure completeness and compliance with written criteria. Identify and obtain missing chart information, including physician signatures and other required documentation. Manage appropriate release of information from hospice care to authorized parties, securing signed authorizations. Copy, mail, or hand deliver requested medical information accurately and timely. Collaborate with clinical staff to support timely and appropriate patient admissions. Provide general administrative support, including answering phones, ordering supplies, and data collection/entry. Conduct medical record audits as assigned. Participate in patient care coordination and hospice quality assessment and performance improvement programs. Purge closed case medical records, organize, box, and send them to archives. Develop and maintain a master patient index. Promote company core values consistently. Complete required compliance training annually. About You Education and Experience: High school diploma or equivalent required. Minimum three years of experience in office work or medical records department. Licenses and Certifications: Valid driver's license and current automobile insurance required. Specialized Knowledge and Skills: Excellent organizational, record keeping, filing, and typing skills. Strong oral and written communication skills. Proficient in documentation management. Ability to operate computers, fax machines, copiers, and cell phones effectively. Flexible and able to manage multiple tasks with composure. Ability to communicate effectively across diverse socioeconomic backgrounds. Responsible, mature, cooperative, and tactful in workplace interactions. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Apply today and be a key part of compassionate care delivery. Legalese Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Keywords: hospice medical records clerk jobs, medical records coordinator hospice, hospice admin jobs, healthcare records clerk, HIPAA compliance jobs, hospice office jobs, patient records coordinator, hospice documentation jobs, medical office support hospice Location Heartland Hospice Our Company At Heartland Hospice, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized - and kindness is celebrated.
    $32k-38k yearly est. Auto-Apply 60d+ ago
  • Medical Billing & Coding Specialist

    Family Health Center 4.3company rating

    Medical coder job in Kalamazoo, MI

    COMPANY INFORMATION: As a federally qualified health center (FQHC) Family Health Center serves all people with quality healthcare, dignity, and respect. We envision a seamless health care delivery system that is proactively responsible for the medical, dental and psychosocial needs of underserved individuals, children and families residing in Kalamazoo County. MISSION: To provide clinical excellence with outstanding patient experience while ensuring that all members of the community have access to quality, comprehensive, patient-centered health care. Full-Time Medical Billing & Coding Specialist POSITION SUMMARY: The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately. DUTIES AND RESPONSIBILITIES: * Performs insurance/patient payment posting and resolves payment transaction discrepancies with assistance from the Lead/Supervisor/Manager when necessary. * Working knowledge of ICD-10, CPT, and HCPCS to review chart notes and ensure appropriate codes are assigned to all claims regarding diagnosis and procedures for provider services performed. * Working knowledge of payer websites and practice management systems with the ability to recognize and resolve front/back-end claim denials from assigned payers and all others as determined necessary by the Billing Supervisor/Manager, utilizing collection procedures and adjusting of patient accounts when necessary. * Answer patient questions regarding statements in person and through phone calls. * Knowledge of appropriate third-party liability (TPL) and government websites (i.e. CHAMPS, WPS, Connex, Availity, HMO Medicaid websites preferred, and working knowledge of ICD-10, CPT, and HCPCS. * Ability to use Microsoft Office, Internet, practice management system and relational database system software. * Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. * Attend all departmental and organizational meetings as required. COMPETENCIES: Collaborative * Displays willingness to make decisions, resolve conflict and delegate work assignments in a timely manner * Adapts to change, takes responsibility for own actions to advance team goals * Speaks and writes clearly and persuasively in formal and informal presentations * Actively participates in meetings and uses listening skills to keep an open mind * Solicits input from appropriate stakeholders, explains reasoning for decisions and uses strong interpersonal skills to communicate and influence others * Gives recognition to others for results Solid Character * Balances team and individual responsibilities while assessing own strengths and weaknesses * Exhibits objectivity and openness to others' views * Welcomes feedback, builds positive team spirit, supports all team members * Develops alternative solutions, supports and shares expertise with other team members while building positive morale * Demonstrates knowledge of company policies and treats people with respect * Works ethically and with integrity, uphold organizational values * Keeps commitments, shows respect and sensitivity for cultural differences * Educates others on the value of diversity, promotes a positive work environment where all feel free to contribute Organizational Support * Completes administrative tasks correctly and on time, and develops strategies to achieve organizational goals and values * Supports affirmative action and respect diversity, understands organization's strengths and weaknesses, analyzes market and competition, and identifies external threats and opportunities while adapting strategy to changing conditions * Prioritizes and plans work activities while understanding business implications of decisions * Demonstrates accuracy and thoroughness within approved budget and displays original thinking and creativity * Displays knowledge of market and competition that aligns with strategic goals * Meets challenges with resourcefulness, generates suggestions for improving work, develops innovative approaches and ideas Leadership * Displays passion and optimism while exhibiting confidence in self and others * Inspires respect and trust while motivating others to perform well and influencing actions and opinions of others * Coordinates projects, develops workable implementation plans, includes staff in planning, decision-making, and process improvement * Communicates and completes changes and progress of projects on time and on budget while managing project team activities to overcome resistance * Makes self-available to staff, provides regular performance feedback * Develops individual team member skills and encourages growth Safety and Security * Promotes safety precautions and security measures to ensure the safety of both staff and patients * Adheres to data security guidelines, including appropriate use of EMR systems and IT resources TYPICAL WORKING CONDITIONS: * The noise level in the work environment is usually quiet to moderate. TYPICAL PHYSICAL DEMANDS: * While performing the duties of this job, the employee is regularly required to use hands for use of a PC as well as other office equipment. * The employee is frequently required to stand, walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms and stoops and kneel. * The employee must occasionally lift and/or move up to 25 pounds. * Specific vision abilities required by this job include close vision, color vision and ability to adjust focus. QUALIFICATIONS: * Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. * To perform this job successfully, an individual should have working knowledge of Microsoft Office utilizing Excel Spreadsheet software and Word processing software. Ability to use Internet, practice management system and relational database system software. Must have the ability to learn additional software to support the Accounting/Finance function. * Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES: * Must have a minimum of a high school diploma * Prefer an Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to one year of experience or equivalent combination of education and experience. * 1-2 years accounts receivable billing experience required. Areas of Family Medicine/internal medicine, preferred. PT/OT, and Behavioral Health a plus. * Prefer knowledge of EPIC system; must have appropriate third-party liability (TPL) and government website knowledge (i.e. CHAMPS, Connex, WPS, Availity, HMO Medicaid plans). * Working knowledge of ICD-10, HCPCS, and CPT. Apply today to help make a difference in our community! Family Health Center is an equal opportunity employer and reserves the right to adjust this role based on organizational needs.
    $33k-37k yearly est. 60d+ ago

Learn more about medical coder jobs

Do you work as a medical coder?

What are the top employers for medical coder in MI?

Top 10 Medical Coder companies in MI

  1. Quality Talent Group

  2. Henry Ford Village

  3. Kode Health Inc.

  4. University of Michigan

  5. SUNY Downstate Health Sciences University

  6. Aspire Health

  7. Sparrow Health System

  8. Humana

  9. Corewell Health

  10. Direct Staffing

Job type you want
Full Time
Part Time
Internship
Temporary

Browse medical coder jobs in michigan by city

All medical coder jobs

Jobs in Michigan