Medical Coder III DecypherMedical Coder IIIMICHIGANRemoteIncludes, but not limited to: The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage Determinations and National Coverage Determinations (LCD and NCD), National Correct Coding Initiative (NCCI) guidance, manual, and edits, Internet-Only Manuals (IOMs), and HHS-OIG publications and reports. Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT), as used in institutional and professional services medical coding.
Medical Coder Hope NetworkMedical CoderGrand Rapids, MIPart timeThe Medical Coder works closely with providers and the Revenue Cycle team to resolve coding discrepancies, reduce claim denials, improve reimbursement accuracy, and support efficient billing operations. This role reviews clinical documentation, assigns appropriate CPT, HCPCS, ICD-10, and Evaluation & Management (E/M) codes, and ensures all coding meets payer-specific requirements and national coding guidelines.
Senior Medical Coder Metro Vein CentersSenior Medical CoderDetroit, MichiganRemoteYou'll mentor fellow coders, perform quality assurance audits, provide guidance on complex coding scenarios, support claims resolution, and partner closely with Coding Leadership to maintain coding accuracy, compliance, and operational excellence across the organization. This is an ideal opportunity for an experienced certified coder who enjoys coaching others, solving complex coding challenges, and helping build scalable coding processes within a fast-growing specialty healthcare organization.
Medical Coder Hope Network CareersMedical CoderGrand Rapids, MichiganThe Medical Coder works closely with providers and the Revenue Cycle team to resolve coding discrepancies, reduce claim denials, improve reimbursement accuracy, and support efficient billing operations. This role reviews clinical documentation, assigns appropriate CPT, HCPCS, ICD-10, and Evaluation & Management (E/M) codes, and ensures all coding meets payer-specific requirements and national coding guidelines.
Medical Coder Non-Certified University of MichiganMedical Coder Non-CertifiedAnn Arbor, MIRemoteMichigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems.
Medical Coder I The Progressive CorpMedical Coder IPlymouth, MI$21.58–$23.02 / hourThe ideal candidate will have strong customer service and interpersonal skills - which you'll rely on while assisting medical representatives with coding questions and answering calls from customers, providers, billing offices and attorneys. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Medical Biller & Coder - Dermatology Coding Max AIMedical Biller & Coder - Dermatology CodingAnn Arbor, MichiganWe're early-stage, growing fast, and the people joining now aren't just shaping this company — they're helping fix a broken industry. We hire for both hourly and salaried roles depending on company needs and your goals: Hourly: Predictable, queue-based 40-hour weeks.
Medical Biller & Coder - Radiology Max AIMedical Biller & Coder - RadiologyFlint, MichiganProcess medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings. Join our dedicated team where your expertise will contribute to the efficient operation of our healthcare services while ensuring patients receive the care they deserve through accurate billing practices.
Medical Biller & Coder - Urgent Care & ER Max AIMedical Biller & Coder - Urgent Care & ERDetroit, MichiganJoin our dedicated team where your expertise will contribute to the efficient operation of our healthcare services while ensuring patients receive the care they deserve through accurate billing practices. The ideal candidate will be responsible for managing the billing process, ensuring accuracy in medical coding, and facilitating timely payments from insurance companies and patients.
Coder Senior Medical Records Corewell HealthCoder Senior Medical RecordsSterling Heights, MichiganThis Senior Medical Records Coder role sits at the heart of two dynamic Family Medicine Residency programs—Corewell Health Troy Beaumont and CHMG East–Grosse Pointe—supporting highly productive faculty physicians, community preceptors, and more than 24 residents and medical students. In this highly visible and influential position, you’ll serve as both coding expert and educator, guiding providers through complex documentation, billing, and compliance requirements while helping shape the next generation of primary care physicians through audits, one‑on‑one education, resident orientation, and ongoing regulatory review.
Coder I MyMichigan HealthCoder IMidland, MichiganFull time25%)* Uses the Epic coding edits, CPT Assistant, and Centers for Medicare and Medicaid Services (CMS) coding guidelines to make necessary corrections to ICD, CPT, Healthcare Common Procedure Coding Systems (HCPCS), codes, modifiers and place of service to ensure clean claims. This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations.
NewRisk Adjustment Compliance Coder Upper Peninsula Health PlanRisk Adjustment Compliance CoderMarquette, MIRemoteCertification: Minimum: Must possess and maintain an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification-Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC). Identifies, develops, and delivers general and specific educational guidance to providers and clinic staff through webinars, newsletters, presentations, and other educational forums based on risk adjustment audit findings, CMS guidelines, regulatory requirements, and industry best practices.
Coder Abstractor - Cardiology - REMOTE Munson HealthcareCoder Abstractor - Cardiology - REMOTEMIRemoteAssociate's degree in Health Record Technology, or related healthcare field and two years of professional coding experience and must obtain the credentials of a Certified Professional Coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA) within 18 months of employment. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material.
PB Coder Wolcott, Wood and Taylor Inc.PB CoderGrand Rapids, MIThis role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. Interprets outpatient office visit notes/hospital patient encounters and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 DX coding to these services.
Ambulatory Coder Wolcott, Wood and Taylor Inc.Ambulatory CoderGrand Rapids, MIThis role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. Education/Experience : Certified professional coder CCS-P, CPC, RHIT or RHIA through AAPC or AHIMA with a minimum of two years' experience with CPT/ICD-10 coding of multispecialty services preferred.
Coder Sr. Corewell HealthCoder Sr.MIThe outpatient senior coder will review multiple service lines of outpatient services (ambulatory surgery, observation, interventional radiology/cardiology, emergency) record accounts to assign correct ICD-10-CM diagnosis codes, CPT procedure codes, add modifiers, review claim edits, etc. per the industry coding guidelines, utilizing the 3M computer assisted coding software application. The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software application.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MI$43,888–$93,574 / yearThe 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. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Certified Professional Coder Consultant Yeo & YeoCertified Professional Coder ConsultantSaginaw, MichiganAssist with presentation of educational information to Clients and Staff, through teamwork and communication, to ensure that education is inclusive of information needed to maintain or improve quality of coding and billing. 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.
Professional Office Coder Trinity HealthProfessional Office CoderGrand Rapids, MIRemoteRemote position The Professional Office coder will review all assigned charge review errors and claim edits, ensuring correct charge capture and coding with proper ICD-10, CPT, HCPCS codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. What the professional office coder will do: • Reviews encounter forms or EHR for completion and accuracy, including ICD-10, ICD9CM, CPT and HCPCS modifier assignment.
Sr. Coder Abstractor - Outpatient Surgery Munson HealthcareSr. Coder Abstractor - Outpatient SurgeryMIIf you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.
PROFESSIONAL CODER Covenant HealthCarePROFESSIONAL CODERSAGINAW, MichiganFull timeOverview: The Professional Coder provides timely and accurate clinical and administration data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care or physician offices to meet organizational needs. Adhere to coding rules for coding professional services for multiple specialties (such as; neurosurgery, pediatric surgery, rehab, orthopedic, cardiology, etc.), urgent care, occupational health, family practice and other to ensure quality coding based upon documentation within the patient record.
Outpatient Complex Coder - Full Time Days - Interventional Radiology (Michigan Residents) Henry Ford HospitalOutpatient Complex Coder - Full Time Days - Interventional Radiology (Michigan Residents)Detroit, MIRemotePRINCIPLE DUTIES AND RESPONSIBILITIES: Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient's medical record, including histories, physicals, operative reports, diagnostic testing reports, pathology reports, therapy notes and discharge summary, etc. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
NewOutpatient Professional Coder - Full time - Detroit Henry Ford HospitalOutpatient Professional Coder - Full time - DetroitDetroit, MIAccurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement.
*Outpatient Complex Coder/Full Time/Remote Henry Ford Hospital*Outpatient Complex Coder/Full Time/RemoteTroy, MIRemoteThe coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
Outpatient Complex Coder/Full Time/Remote Henry Ford HospitalOutpatient Complex Coder/Full Time/RemoteDetroit, MIRemoteThe coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
*Inpatient Complex Coder/Full Time/Remote Henry Ford Hospital*Inpatient Complex Coder/Full Time/RemoteTroy, MIRemotePRINCIPLE DUTIES AND RESPONSIBILITIES: Identifies all diagnostic and operative procedures and other pertinent patient stay data for Henry Ford Health System databases by thoroughly reviewing entire patient medical records, including histories physicals, operative reports, pathology reports, therapy notes, nursing notes, and discharge summary, etc. EDUCATION/EXPERIENCE: Degree in Medical Record Sciences preferred but not required, or successful completion of a certification program with certification as a Registered Health Information Technician (RHIT), Registered Health Administrator (RHIA), CCS Certified Coding Specialist, or CCA Certified Coding Associate.
Outpatient Complex Coder(Surgical)/Full Time/Remote Henry Ford HospitalOutpatient Complex Coder(Surgical)/Full Time/RemoteTroy, MIRemoteThe coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
Sr. Coder Abstractor - Inpatient Munson HealthcareSr. Coder Abstractor - InpatientMIMust have a minimum of two years of inpatient coding experience including coding very complex diagnoses and procedures, and experience with Prebill processes and timely communication and collaboration with CDI to ensure coding accuracy and optimal billing outcomes. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material.
OUTPATIENT CODER (OCCASIONAL ONSITE REQUIRED) Covenant HealthCareOUTPATIENT CODER (OCCASIONAL ONSITE REQUIRED)SAGINAW, MichiganFull timePerforms other duties as assigned which may include reviewing, analyzing coding denials, denial appeals, denial entry, writing appeal letters to outside agencies, coding quality reviews, training of new staff, mentoring students, or testing for new software upgrades. Overview: The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, recurring accounts to support the facility coding needs.
NewMedical Coding Specialist Integra PartnersMedical Coding SpecialistTroy, MIRemoteFull timeThis position is responsible for researching, analyzing, and interpreting HCPCS, CPT, and ICD-10 coding guidance to support accurate prior authorization requirements, coding resources, and client deliverables across Medicare, Medicaid, Commercial, and Marketplace lines of business. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care.
Medical Biller Yeo & YeoMedical BillerSaginaw, MichiganApplying today makes you one step closer to joining a firm of enthusiastic, driven, creative and intelligent problem solvers working together toward a common goal – to provide outstanding business solutions. Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
Biller/Primary Care- Clarkston Medical Group McLaren Health Care CorpBiller/Primary Care- Clarkston Medical GroupClarkston, MIResponsible for coding and billing office services, submitting claims, performing following up with insurance companies, and assisting patients with payments and questions. Knowledge of administrative and clerical procedures including systems such as word processing, spreadsheets, and managing inventory.
Medical Coding Educator (Provider Education) - Full Time - Hybrid Henry Ford HospitalMedical Coding Educator (Provider Education) - Full Time - HybridDetroit, MIAbout the Role: As our Medical Coding Education Coordinator, you'll be at the forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information across our hospital and ambulatory sites. Associates Degree in Healthcare related field, Medical Record Sciences, or Business/Healthcare Administration or four (4) years coding experience may be considered in lieu of education requirement.
Medical Coding & Price Transparency Specialist Henry Ford HospitalMedical Coding & Price Transparency SpecialistTroy, MIIn this highly collaborative and patient-focused role, you will provide accurate pricing estimates for a wide range of services, helping patients navigate insurance coverage, self-pay options, and financial responsibilities with confidence and clarity. You'll work closely with patients, clinics, and internal teams while utilizing advanced healthcare systems and tools to support a seamless patient financial experience.
Analyst (Medical Coding)-104640 Marketplace Ops Blue Cross and Blue Shield AssociationAnalyst (Medical Coding)-104640 Marketplace OpsDetroit, MIEffective analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness. Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance.
Outpatient Coding Denial and Appeals Specialist University of MichiganOutpatient Coding Denial and Appeals SpecialistAnn Arbor, MIThe Outpatient Coding Denials Specialist plays a vital role in the revenue cycle management of Rev Cycle Mid-Service by maintaining the financial integrity of the healthcare facility and ensuring adherence to regulatory requirements. Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorMI$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Coding Educator MyMichigan HealthCoding EducatorMidland, MichiganFull timeOne of the following certifications are required: Certified Professional Coding (CPC) certificate, Certified Coding Specialist (CCS) certificate, or Certified Coding Specialist Physician Office (CCS-P) certificate Registered Health Information Technic. They are then responsible for monitoring coding and documentation performance through random chart audits and regular meetings to communicate findings with providers and staff; follow up as necessary (additional reviews, analysis of benchmarking profiles, etc.).
Appeals Audit Specialist McLaren Health Care CorpAppeals Audit SpecialistGrand Blanc, MIAttends continuing education sessions to maintain competency and knowledge of regulations in denials, utilization management, care management, clinical documentation, and leadership skills and participates in ongoing leadership training offered by ACMA. Provides support in response, tracking and completion of all payer audit/denial/appeal activity to ensure that timelines in the process are met, including requests for medical record documentation and the filing of responses and appeals.
SIU Investigator III (Health Plan experience required) CareSourceSIU Investigator III (Health Plan experience required)Michigan, MI$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members.
Inpatient Facility Coding Quality Analyst Corewell HealthInpatient Facility Coding Quality AnalystGrand Rapids, MIPerforms internal quality assessment reviews and education (as needed/identified) on all applicable Corewell Health Inpatient Facility coders to ensure adherence to the Coding Quality Plan, Official Coding Guidelines, coding policies for complete, accurate and consistent coding that result in appropriate reimbursement and data integrity. Works to improve the accuracy, integrity, and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments.
NewCharge Master Analyst Sutter HealthCharge Master AnalystMI$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
NewCoordinator-Inpatient Coding Quality/Education -Full Time/Remote Henry Ford HospitalCoordinator-Inpatient Coding Quality/Education -Full Time/RemoteTroy, MIRemoteAs a Coding Quality Coordinator, you'll play a key role in guiding and developing coders, promoting accuracy and compliance, and helping ensure every patient's clinical story is captured correctly. Join a team where your expertise is valued, your mentorship makes a difference, and your work directly supports high-quality patient care.
Compliance Coding Auditor/Educator RSO Trinity HealthCompliance Coding Auditor/Educator RSOAnn Arbor, MIProficiency in multi-tasking and meeting sensitive deadlines in a fast-paced environment with a personal commitment to producing the highest quality work and providing extraordinary customer service; demonstrated ability to effectively follow through on assigned projects. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMI$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
IP Coding Coordinator, Remote Trinity HealthIP Coding Coordinator, RemoteLivonia, MIRemote$32.52–$48.76 / hourMust possess advanced knowledge of medical terminology, anatomy and physiology, disease process, and diagnostic and procedural coding, as normally obtained through an Associate's degree in Health Information Technology, or a related field, or an equivalent combination of years of education and experience in a complex healthcare environment. Designs, develops and delivers effective educational programs, informational materials and workflow tools that assists the Regional Coding Leadership with integrating compliance into their operations and improving processes and skills.
Revenue & CDM Optimization Liaison Trinity HealthRevenue & CDM Optimization LiaisonWalker, MICharge Description Master maintenance and charge capture monitoring and resolution responsibilities include: Regularly audits Charge Master for each department, including review of appropriate coding, departmental and pricing concerns, and other issues deemed appropriate. Strong knowledge of clinical processes; charge master maintenance, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing.
Trauma Registrar MyMichigan HealthTrauma RegistrarMidland, MichiganFull timeUnder the direction of the Trauma Program Manager, the Trauma Registrar is responsible for abstraction, collection, coding, entry, and report generation of all data that is entered into the Trauma Registry as required by the State of Michigan, the National Trauma Data Bank, and the American College of Surgeons. (30%)* Analyzes patient data in order to properly code all patient diagnoses and procedures by using the International Statistical Classification of Diseases and Related Health Problems (ICD-10 or current version) and Association for the Advancement of Automotive Medicine Abbreviated Injury Scale (AIS) guidelines.
Director, Clinical Data Management PTC TherapeuticsDirector, Clinical Data ManagementWarren, MichiganThe Director, Clinical Data Management provides strategic and operational leadership and oversight of data management activities to ensure the quality, integrity, consistency and inspection readiness of clinical databases for subsequent analysis, reporting and regulatory submissions. Participate in cross functional team meetings, as requested, and communicate with all departments regarding project statuses/issues, provide ongoing feedback on data management workflows to increase efficiency and provide feedback to CRAs.
Biller /Podiatry- Oakland Orthopedics & Sports Medicine McLaren Health Care CorpBiller /Podiatry- Oakland Orthopedics & Sports MedicineClarkston, MIKnowledge of administrative and clerical procedures including systems such as word processing, spreadsheets, and managing inventory. Review Delinquent Accounts, prepare pre-collection letters, assign payment plans.