Explore 6 coder jobs from 4 hiring companies in Lansing, MI, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

Memorial Healthcare

Covenant HealthCare

Eaton Rapids Medical Center

Huron Gastro

Onsite

Remote

Description&nbsp;&nbsp;Huron Gastro, P.C. is an adult medical gastroenterology practice specializing in the diagnosis, treatment, and management of disorders that affect the esophagus, stomach, small intestine, large intestine (colon), rectum, liver, gallbladder, bile ducts, and pancreas. Our practice includes 25 physicians who are board-certified in gastroenterology by the American Board of Internal Medicine, 9 Advances Practice Providers, and an outstanding staff of clinical and administrative personnel.&nbsp; Huron Gastro has been a leader in the field for over 5 decades, with expertise in every leading-edge technology that is currently available for the practice of gastrointestinal medicine.&nbsp; Huron Gastro is committed to high quality, efficient, compassionate, cost-conscious care. &nbsp;We value our culture which holds high the values of dignity and respect, and we focus much time and effort on continuing education for our health care professionals.We currently have an opportunity for a Certified Coder.&nbsp; If you are looking to work in a leading-edge health care organization, are team oriented and have a professional demeanor, Huron Gastro may be the ideal place for you! Education<ul><li>Post secondary education preferred</li><li>Coding or related certification</li></ul>Experience<ul><li>1-2 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;years coding experience</li><li>Knowledge &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;of ICD-10-CM</li><li>Knowledge &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;of CPT and HCPCS</li><li>Medical &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;terminology</li><li>Anatomy &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;and physiology</li><li>Federal &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;regulations and policies pertaining to documentation and coding</li><li>Electronic &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;health record knowledge</li></ul>Job Functions· Review medical record for internal quality indicators/monitors· Assign ICD-10-CM, CPT, and HCPCS codes and modifiers to both inpatient and outpatient&nbsp;· Audits of physician E/M coding&nbsp;· Provide support to other members of the Patient Financial Services team· Ability to concentrate and pay attention to detailBenefits<ul><li>Medical, Dental and Vision</li><li>Life Insurance</li><li>Flex Spending Account</li><li>Short- and Long-Term Disability</li><li>Paid Time Off</li><li>Paid Holidays</li><li>401(k) Employer Match</li><li>Scrub Allowance</li></ul>

1-2 years coding experience; ICD-10-CM; CPT and HCPCS; medical terminology; anatomy and physiology; federal regulations; electronic health records.

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

Coder - HIM

Codes ICD-10-CM/PCS per AHIMA standards; 3 years acute care coding; Associate degree in Health Information Technology or AHIMA-approved coding program (RHIA/RHIT/CCS).

Clinical Documentation Integrity Specialist

Five years of clinical experience in an acute care hospital; coding and CDI experience preferred; RN/RHIT/CDIP/CCDS/CCS qualifications; DRG/ ICD-10 knowledge.

<div class="fieldValueText">
Job Summary:

Under the direct supervision of the Director of Health Information Management the Professional CDI Specialists is responsible for reviewing outpatient documentation for accuracy in the support of coding, quality measures and clinical requirements. Provide feedback to providers to improve clinical documentation and facilitate ongoing documentation improvement to meet all requirements of the medical record. Coding reviews include routine and periodic assessment of diagnoses and procedures performed with adherence to established coding guidelines of ICD-10-CM (International Classification of Disease), CPT (Current Procedural Terminology), Governmental and Third-party carriers. Responsible for developing and implementing ongoing coding training and auditing of medical records to ensure compliance with CMS&rsquo;s coding and documentation guidelines. The CDI Specialist is responsible for improving the overall quality and completeness of clinical documentation. Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care.

&nbsp;

PRIMARY JOB RESPONSIBILITIES

&nbsp;

<ol>
	<li>Manages coding compliance standards, policies and procedures to ensure conformity with coding guidelines (CMS, AAPC) for all MMA providers.</li>
	<li>Reviews clinical documentation to determine adherence to established Government and third-party billing guidelines, AMA, AAPC, CMS and coding policies as necessary.</li>
	<li>Provides coding education to physicians, coders, and other staff regarding standards for medical record documentation and the correct use of CPT-4 and ICD-10 codes.</li>
	<li>Queries physicians regarding missing, unclear, or conflicting documentation by requesting and obtaining additional documentation within the record when needed.</li>
	<li>Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the medical record.</li>
	<li>Effectively resolves coding inquiry issues through participation in the coder email process, patient dispute resolution process, and general coding education emails.</li>
	<li>Assist coders with any MMA providers and MA errors i.e. new codes, missing diagnoses, procedures documentation.</li>
	<li>Review documentation to make sure that providers are assigning the appropriate Evaluation and Management codes and provide necessary education.&nbsp; </li>
	<li>Complete coding audit/review of at least 10-15 encounters per provider at a minimum of every 3-6 months.</li>
	<li>Complete coding audit/review of 100% of encounters for new providers for 4 weeks and decrease as appropriate.</li>
	<li>Complete coding audit for all new procedures/services i.e., Transitional Care Management (TCM), Medicare Annual Wellness, Chronic Care Management (CCM), New surgical services, New office procedures.</li>
	<li>Review/ audit records and prepares finding reports for Billing, Coding, and Auditing Task Force Committee.</li>
	<li>Maintains strict confidentiality in accordance with HIPAA regulations.</li>
	<li>Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.</li>
	<li>Embodies the principles of the corporate Mission Statement and Philosophy at all times.</li>
	<li>Complies with departmental and company-wide policies and procedures.</li>
	<li>Demonstrates knowledge of and supports hospital mission, vision, value statement, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior.</li>
	<li>Other duties as assigned.</li>
</ol>

&nbsp;

JOB SPECIFICATIONS

&nbsp;

EDUCATION

&nbsp;

<ol>
	<li>Associates Degree in related field preferred.&nbsp; Certified Professional Coder (CPC) required.&nbsp; </li>
	<li>Certified Documentation Expert-Outpatient (CDEO) certification examination required or must obtain within one year of hire.</li>
</ol>

&nbsp;

EXPERIENCE

&nbsp;

<ol>
	<li>Minimum of three years coding and billing experience required.&nbsp; Minimum five years medical office experience.&nbsp; Minimum three years&rsquo; experience with an EMR system.&nbsp; </li>
	<li>Clinical Documentation Improvement (CDI) experience preferred. </li>
	<li>Must demonstrate knowledge of pathophysiology, coding and billing guidelines, and quality measures. </li>
	<li>Understanding of new payment models MACRA and MIPS.</li>
	<li>Knowledge of meaningful use requirements. </li>
</ol>

&nbsp;

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

&nbsp;

<ol>
	<li>Able to travel independently throughout all MMA providers offices (including crowded or confined areas).</li>
	<li>Require travel to medical offices across an assigned geography as necessary. Travel will range from 50% to 75% each month dependent upon audit and education schedules.</li>
	<li>Small motor skills required for operating modern computer, office, and telephone equipment as utilized by Memorial Healthcare (MHC).</li>
	<li>Must be able to sit or stand for long periods of time.</li>
	<li>At minimum, 75% of time spent on the job will require standing or ambulating.</li>
</ol>

&nbsp;

&nbsp;

ESSENTIAL MENTAL ABILITIES

&nbsp;

<ol>
	<li>Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.</li>
	<li>Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.</li>
	<li>Ability to work in a stressful environment due to time constraints and handle difficult and sensitive situations tactfully.&nbsp;&nbsp; </li>
	<li>Ability to follow instructions to learn work routines and problem solving.&nbsp;&nbsp; </li>
	<li>Must be self-motivated with the ability to work independently.</li>
</ol>

&nbsp;

ESSENTIAL TECHNICAL ABILITIES 

&nbsp;

<ol>
	<li>Proficiency using modern office, computer and telephone equipment as used by Memorial Healthcare.</li>
	<li>Motor skills required to page through hard copy and computerized records.</li>
</ol>

&nbsp;

ESSENTIAL SENSORY REQUIREMENTS 

&nbsp;

<ol>
	<li>Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.</li>
	<li>Able to hear for work-related purposes.</li>
	<li>Ability to communicate through written and verbal communications receptively, expressively, and with professionalism.</li>
</ol>

&nbsp;

INTERPERSONAL SKILLS 

&nbsp;

<ol>
	<li>Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.</li>
	<li>Required to remain calm when adversity is encountered.</li>
	<li>Open, honest, and tactful communication skills.</li>
	<li>Ability to work as a team member in all activities.</li>
	<li>Positive, cooperative and motivated attitude.</li>
	<li>Ability to exercise helpfulness, patience and tact in communication skills daily.</li>
</ol>
</div>

Professional Clinical Documentation Improvement Specialist

Three years coding/billing; five years medical office; CPC; CDEO within one year; CDI experience preferred; knowledge of MACRA/MIPS, ICD-10-CM/CPT-4 guidance.

<h3>Description</h3>
<ol><li class="MsoNormal" style="line-height:normal;font-size:10pt">Codes outpatient charts and/or professional charts and abstracts all required data from records according to established procedures; including medical necessity for Medicare charts.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Uses ICD-10 CM/PCS/CPT-4/chargemaster to code all diagnoses, operative procedures and physician procedures performed for outpatient procedures.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Verifies/changes levels of care provided according to level of care guidelines.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Captures all missing records and documentation, i.e. IV start/stop times, etc.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Interacts with physicians and physician's offices regarding diagnoses or coding questions.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Performs other work as needed to help within the department.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Keeps current with coding practices and skills through in-services, seminars, workshops and current literature to increase coding knowledge.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Reviews the entire medical record for identification of all documented conditions, diagnoses and procedures.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Demonstrates the ability to read physicians handwriting and interpret diagnostic and therapeutic information.</li><li class="MsoNormal" style="line-height:normal;font-size:10pt">Attends and participates in departmental meetings.</li></ol>
<h3>Requirements</h3>
Must be a high school graduate or equivalent. College education with an RHIT, RHIA, CCA, CCS, CPC, COC, CMC or CIC credentialed, or equivalent experience required. Must have comprehensive knowledge of ICD-10, CPT and HCPCS codes. Two (2) years coding preferred. Experience with computerized record abstraction systems preferred.
<h3>Summary</h3>
Assumes responsibility for coding and abstraction of all records using ICD-10CM/PCS and CPT classification systems. Reviews records to ensure optimum reimbursement based on medical record documentation. Identifies health and safety concerns and unsafe work practices within the workplace. Is involved in developing safe work practices and is held accountable for the day to day efforts of ensuring a safe workplace by following safe work practices.

Full Time Outpatient Coder

Outpatient Coder

Must be high school graduate; RHIT/RHIA/CCA/CCS/CPC/COC/CMC or equivalent; 2 years coding experience preferred.

Overview:
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. This position is responsible for ICD10CM diagnosis, CPT-4 coding and charge entry related to coding, documentation, billing and reimbursement issues. Works as a liaison between centralized billing staff, practice managers and office staff and may be required to meet with the office staff and physicians as needed. This position is responsible for the monitoring the quality of coding and stays current on professional coding changes, compliance issues, billing, documentation, reimbursement and interpretation of coding/documentation rules. Primary patient contact is only social. He/she demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.

Responsibilities:
Formulates and uses effective working relationships with all members of the department, physicians, external customers, patients and other staff members of departments encountered. 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. Follows policies, procedures and guidelines to assure consistent coding quality. At the same time utilizes analytical skills when reviewing charts, interpreting documentation and applying codes, sufficing edits, etc. Assures coding is completed timely and all work queues are maintained at a reasonable completion rate/turnaround timeframe. This includes the willingness to help others, accepting help from others and the ability to work extra when backlogs occur. Participates in department meetings and area specific meetings (Professional coding, Practice Managers, billing, routine specialty, clinical areas, resident/physician meetings, etc.) as required. Assist in achieving departmental, AR and area specific goals. Charge entry for professional services (office and/or hospital based for acute care, urgent care, specialty care, occupational health, skilled nursing, et. Services). Supports physicians, leadership, managers and staff on coding and documentation related items. Problem solves, researches topics, make recommendations and provides education as needed. Ability to develop training or educations materials. Performs E & M, procedural or other specified coding audits for many professional settings and services. Helps to identify solutions to problems and assists in resolving issues related to coding. Shares knowledge during training of new staff and is a resource to others. Independent learning with desire for continued personal and professional growth. Stays current on coding updates and publications. Utilizes numerous references to support technical decisions, clinical understanding of disease processes or procedures/tests performed. Maintains professional credentials. Required to provide written and oral feedback to providers on audits, for education, or other as required. Must be professional, self-motivated, and work independently with the ability to make sound decisions, analyze issues and solve problems. Assist CBO/Finance/Data/CMG/ Other as requested for follow up on items related to coding, billing or reimbursement. Assure that all legal requirements, including Federal (HIPAA) and State regulations are met. Demonstrates an awareness of legal/confidentiality issues and adheres to all HIPAA Privacy and Security and Department Policies and Procedures. Participates in development and attainment of department and workgroup goals. Contributes to organizational success targets for patient satisfaction. Perform other duties as assigned which may include: working with students, develop policies, guidelines or other documents in order to facility complete and timely gathering of information for clinical, billing or coding.

Qualifications:
EDUCATION/EXPERIENCE Certified Professional Coder (CPC) required or Associates Degree/Certification in medical curriculum with two years coding experience in a professional setting. May substitute two years ICD9/10CM and CPT-4 coding experience with understanding that the Certified Professional Coder (CPC) requirement be fulfilled within 12 months of the start date. Experience in professional coding setting/physician office setting preferred. Coding experiences preferred utilizing ICD9/10CM and CPT-4 coding books and references in a professional setting. Must be able to tolerate working under stress, limited time constraints and with frequent interruptions and deadlines. Prefers 2 years� experience in interpreting professional/physician remittance advice statements for all major insurance payers for multiple physician specialties. KNOWLEDGE/SKILLS/ABILITIES Basic computer skills including the ability to search for work related items on line using the internet. Knowledge of standard office equipment. Knowledge of computer use including EMR, email/Lotus Notes/Outlook, internet, and other software as needed (Word, Excel, Intelicode, Systoc, AAPC, etc.). Knowledge/understanding of medical terminology and anatomy. Knowledge of third party payer coding and billing reimbursement. Knowledge of ICD9/10CM diagnosis coding, CPT-4 coding and HCPCS coding guidelines. Demonstrates effective communication methods and skills, both verbally and in writing. Uses appropriate organization/priority setting skills to complete work timely and accurately. Practices effective problem identification and resolution skills as a method of sound decision making. Demonstrates interpersonal skills required to work with many other people and personalities. Requires the ability to use sound judgement, based upon the latest guidelines, federal and state statutes and regulations, as well as hospital and departmental policies. Continued growth in many areas. Ability to sit and look at computer screen for long periods of time. Ability to be flexible to adjust assignments as priorities change. WORKING CONDITIONS/PHYSICAL DEMANDS Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards. Constant sitting, use of hands to finger, handle and feel. Constant hearing and near vision. Frequent depth perception, midrange and far vision. Frequent color and field of vision. Frequent lifting 0-10 lbs. Occasional lifting 11-50 lbs. Occasional standing, walking, carrying, pushing, pulling, climbing, balancing, stooping, kneeling, crouching, squatting and crawling. Occasional twisting, reaching and talking.

CERTIFIED PROFESSIONAL CODER - ORTHOPEDICS, ONSITE

Certified Professional Coder - Orthopedics

CPC certification or relevant associates/certificate with two years coding experience.

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