Farmington, MI · On-site
$22.50 - $29.75/hr
The SME works directly with physicians and providers to resolve documentation questions and coding queries within their assigned specialty area, ensuring accurate CPT, HCPCS, ICD-10, and modifier ...
New
Quick apply
Farmington, MI · On-site
$22.50 - $29.75/hr
The SME works directly with physicians and providers to resolve documentation questions and coding queries within their assigned specialty area, ensuring accurate CPT, HCPCS, ICD-10, and modifier ...
New
Flint, MI · On-site +1
$21.50 - $25.75/hr
... ICD-10-CM and ICD-10-PCS coding systems for reimbursement purposes and for Hurley Medical Center's automated information system: Responsible for inpatient coding as assigned. * Determines DRG ...
Flint, MI · On-site +1
$21.50 - $25.75/hr
... ICD-10-CM and ICD-10-PCS coding systems for reimbursement purposes and for Hurley Medical Center's automated information system: Responsible for inpatient coding as assigned. * Determines DRG ...
Flint, MI · Remote
$21.50 - $25.75/hr
Two (2) years of documented experience in ICD-10-CM and ICD-10-PCS coding and DRG reimbursement. * Certification through AHIMA in Registered Health Information (RHIA, RHIT) or as a Certified Coding ...
Flint, MI · Remote
$21.50 - $25.75/hr
Two (2) years of documented experience in ICD-10-CM and ICD-10-PCS coding and DRG reimbursement. * Certification through AHIMA in Registered Health Information (RHIA, RHIT) or as a Certified Coding ...
Flint, MI · Remote
$21.25 - $25.50/hr
Two (2) years of documented experience in ICD-10-CM and ICD-10-PCS coding and DRG reimbursement. * Certification through AHIMA in Registered Health Information (RHIA, RHIT) or as a Certified Coding ...
Flint, MI · Remote
$21.25 - $25.50/hr
Two (2) years of documented experience in ICD-10-CM and ICD-10-PCS coding and DRG reimbursement. * Certification through AHIMA in Registered Health Information (RHIA, RHIT) or as a Certified Coding ...
Ann Arbor, MI · On-site +1
$18.75 - $23.75/hr
Review patient records and code dermatology procedures (ICD-10, CPT, modifiers). * Submit clean claims and minimize rejection and denial rates. * Verify insurance eligibility and benefits before ...
Ann Arbor, MI · On-site +1
$18.75 - $23.75/hr
Review patient records and code dermatology procedures (ICD-10, CPT, modifiers). * Submit clean claims and minimize rejection and denial rates. * Verify insurance eligibility and benefits before ...
Your expertise in CPT and ICD-10 coding systems will be instrumental in maintaining compliance, optimizing revenue cycles, and supporting efficient healthcare operations. Essential Responsibilities
New
Your expertise in CPT and ICD-10 coding systems will be instrumental in maintaining compliance, optimizing revenue cycles, and supporting efficient healthcare operations. Essential Responsibilities
New
Farmington, MI · On-site
The Coding Supervisor is responsible for overseeing daily coding workflow in the assignment of ICD-10, CPT, and HCPCS codes. This role monitors and assesses coding staff performance to ensure ...
Quick apply
Farmington, MI · On-site
The Coding Supervisor is responsible for overseeing daily coding workflow in the assignment of ICD-10, CPT, and HCPCS codes. This role monitors and assesses coding staff performance to ensure ...
Caledonia, MI · Remote
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Caledonia, MI · Remote
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Caledonia, MI · On-site +1
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Caledonia, MI · On-site +1
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Caledonia, MI · On-site
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Caledonia, MI · On-site
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Southfield, MI · On-site
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Southfield, MI · On-site
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Southfield, MI · Remote
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
Southfield, MI · Remote
ICD-10-CM, ICD-10-CPS, CPT coding experience 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 ...
$25 - $50/hr
Process 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.
$25 - $50/hr
Process 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.
Flint, MI · On-site +1
$25 - $50/hr
Process 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.
Flint, MI · On-site +1
$25 - $50/hr
Process 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.
Maintains current knowledge of the MS-DRG system, CCs/MCCs, impact onquality, risk of mortality, severity of illnessand CMI as well as ICD-10 coding systems and the guidelines related to Clinical ...
New
Maintains current knowledge of the MS-DRG system, CCs/MCCs, impact onquality, risk of mortality, severity of illnessand CMI as well as ICD-10 coding systems and the guidelines related to Clinical ...
New
Maintains current knowledge of the MS-DRG system, CCs/MCCs, impact onquality, risk of mortality, severity of illnessand CMI as well as ICD-10 coding systems and the guidelines related to Clinical ...
New
Maintains current knowledge of the MS-DRG system, CCs/MCCs, impact onquality, risk of mortality, severity of illnessand CMI as well as ICD-10 coding systems and the guidelines related to Clinical ...
New
Be Seen First
Southgate, MI · On-site
$21 - $30/hr
Experience in CPT and ICD-10 coding * Claims appeal and resolution experience * Payment posting and accounts receivable knowledge * Familiarity with medical terminology * EMR experience preferred ...
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Be Seen First
Southgate, MI · On-site
$21 - $30/hr
Experience in CPT and ICD-10 coding * Claims appeal and resolution experience * Payment posting and accounts receivable knowledge * Familiarity with medical terminology * EMR experience preferred ...
Be Seen First
Southgate, MI · On-site
$21 - $30/hr
Experience in CPT and ICD-10 coding * Claims appeal and resolution experience * Payment posting and accounts receivable knowledge * Familiarity with medical terminology * EMR experience preferred ...
Quick apply
Be Seen First
Southgate, MI · On-site
$21 - $30/hr
Experience in CPT and ICD-10 coding * Claims appeal and resolution experience * Payment posting and accounts receivable knowledge * Familiarity with medical terminology * EMR experience preferred ...
Knowledge of medical, including surgical, terminology and procedures at the level needed to perform job responsibilities, including understanding of CPT and ICD-9/ICD-10 coding. Proficient ...
New
Knowledge of medical, including surgical, terminology and procedures at the level needed to perform job responsibilities, including understanding of CPT and ICD-9/ICD-10 coding. Proficient ...
New
Lansing, MI · On-site
$24 - $26.50/hr
Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS ...
New
Lansing, MI · On-site
$24 - $26.50/hr
Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS ...
New
$15.97 is the 25th percentile. Wages below this are outliers.
$13.83 - $16.02
26% of jobs
$16.02 - $18.21
9% of jobs
$18.21 - $20.40
12% of jobs
The median wage is $21.49 / hr.
$20.40 - $22.59
9% of jobs
$22.59 - $24.78
11% of jobs
$24.78 - $26.97
5% of jobs
$28.61 is the 75th percentile. Wages above this are outliers.
$26.97 - $29.16
6% of jobs
$29.16 - $31.35
5% of jobs
$31.35 - $33.54
5% of jobs
$33.54 - $35.73
3% of jobs
$35.73 - $37.92
10% of jobs
$13
$23
$37
ICD-10 coding professionals often encounter challenges such as interpreting complex medical records, keeping up with frequent updates to coding guidelines, and ensuring accuracy under time constraints. Working closely with physicians and clinical staff to clarify documentation can also require effective communication and problem-solving skills. Adapting to different healthcare settings, such as hospitals, clinics, or remote environments, may require flexibility and self-motivation. Overcoming these challenges is vital for maintaining compliance, supporting reimbursement processes, and contributing to the overall quality of patient care.
To excel in ICD-10 Coding, you need a solid understanding of medical terminology, anatomy, and disease processes, often supported by a relevant certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Proficiency in using medical coding software, electronic health record (EHR) systems, and coding reference tools is typically required. Strong attention to detail, organizational abilities, and effective communication skills set exceptional coders apart. Mastery of these skills ensures accurate documentation, compliance with healthcare regulations, and efficient reimbursement processes.
An ICD-10 Coding job involves assigning standardized medical codes from the ICD-10 (International Classification of Diseases, 10th Edition) system to diagnoses, procedures, and treatments in patient records. Medical coders ensure accurate billing, compliance with healthcare regulations, and proper documentation for insurance claims. They typically work in hospitals, clinics, or insurance companies and must have strong knowledge of medical terminology and coding guidelines.
$22.50 - $29.75/hr
Full-time
Posted 4 days ago
New
Healthrise is seeking a Coding Subject Matter Expert (SME) to serve as an escalation-level coding resource within one of three specialty focus areas: PB/ASC, Pathology/Radiology, or Primary Care (which may include ED Professional Fee and/or Hospital-Based Outpatient coding). This individual-contributor role handles complex and escalated coding work that falls outside the scope of the offshore coding team, applying deep specialty coding knowledge, critical thinking, and strong physician communication to keep claims accurate and compliant.
The SME works directly with physicians and providers to resolve documentation questions and coding queries within their assigned specialty area, ensuring accurate CPT, HCPCS, ICD-10, and modifier assignment. While the primary focus is professional billing (PB) coding, each SME maintains working knowledge of hospital-based (HB) coding to support broader coding needs as the department grows.
This is a strong opportunity for an experienced coder who wants to operate as a trusted specialty expert, partner closely with providers, and help shape coding standards as Healthrise builds out its front-end coding leadership structure.
Duties and Responsibilities
Core Responsibilities (All Specialty Areas)
• Knows, understands, incorporates, and demonstrates the Healthrise Core Values in all interactions with team members, clients, and stakeholders.
• Serve as the SME resource for the assigned specialty coding area, resolving complex or escalated cases that fall outside the offshore coding team’s scope.
• Serve as the primary point of contact for physician-facing coding queries within the assigned specialty, communicating directly with providers to clarify documentation and drive accurate code assignment.
• Apply critical thinking to identify documentation gaps and work collaboratively with providers to resolve them in a timely manner.
• Partner with Clinical Documentation Integrity (CDI), Compliance, and Revenue Integrity teams on documentation improvement opportunities specific to the assigned specialty.
• Provide coding guidance, QA feedback, and informal mentorship to offshore and junior coding staff within the assigned specialty.
• Support denial and audit response related to the assigned specialty coding area, including root-cause analysis.
• Stay current on CPT, HCPCS, and ICD-10 updates, NCCI edits, and payer policy changes affecting the assigned specialty.
• Maintain productivity and quality standards for escalated case review consistent with department expectations.
PB/ASC Specialty Focus
• Review and code ambulatory surgery center (ASC) and professional fee encounters across surgical specialties, ensuring accurate CPT, HCPCS, ICD-10, and modifier assignment.
• Apply knowledge of NCCI edits, medical necessity requirements, and payer-specific policies to resolve complex PB/ASC coding scenarios.
• Maintain working knowledge of hospital-based (HB) coding to support cross-coverage as departmental needs evolve.
Pathology/Radiology Specialty Focus
• Review pathology reports (surgical pathology, cytology, molecular) and radiology reports (diagnostic and interventional) to assign accurate CPT, ICD-10, HCPCS, and modifier codes, including professional (26) and technical (TC) component distinctions.
• Apply knowledge of NCCI edits, LCD/NCD policies, and payer-specific requirements relevant to pathology and radiology coding.
Primary Care / ED Profee / HB Outpatient Specialty Focus
• Review primary care encounters to ensure accurate Evaluation and Management (E/M) level assignment, CPT, ICD-10, and HCPCS coding in accordance with current E/M guidelines.
• Support Emergency Department (ED) professional fee and hospital-based (HB) outpatient coding as assigned, applying setting-specific coding and leveling requirements.
• Apply knowledge of NCCI edits, medical necessity requirements, and payer-specific policies across primary care, ED profee, and HB outpatient coding.
• Performs other duties as assigned.
Qualifications
Required - Core (All Specialty Areas)
• Active coding credential required, appropriate to the assigned specialty area (e.g., CPC, CCS, CCS-P, CASCC, CIRCC, CEMC, or equivalent AAPC/AHIMA credential).
• Minimum 5 years of coding experience within the assigned specialty area, with demonstrated subject matter expertise.
• Demonstrated experience communicating directly with physicians to resolve documentation and coding questions.
• Strong critical thinking, problem-solving, and written/verbal communication skills.
• Proficiency in Epic or comparable EHR/coding platforms.
• Ability to work independently on complex, escalated coding cases in a production environment.
• Completion of regulatory/mandatory certifications as required.
• Willingness and ability to travel to client or organizational sites as needed.
Preferred - Core
• Bachelor’s degree in Health Information Management or related field.
• Experience mentoring or providing QA feedback to other coders.
Required - PB/ASC
• Strong knowledge of CPT, HCPCS, ICD-10-CM, modifier usage, and NCCI edits as applied to ambulatory surgery center and professional billing services.
Preferred - PB/ASC
• Certified Ambulatory Surgery Center Coder (CASCC) credential.
• Working knowledge of hospital-based (HB) outpatient coding.
Required - Pathology/Radiology
• Strong knowledge of CPT, HCPCS, ICD-10-CM, modifier usage (including professional/technical component splits), and NCCI edits as applied to pathology and radiology services.
Preferred - Pathology/Radiology
• Certified Interventional Radiology Cardiovascular Coder (CIRCC) credential.
• Experience with molecular pathology and genetic testing coding.
Required - Primary Care / ED Profee / HB Outpatient
• Strong knowledge of E/M guidelines (office/outpatient and ED leveling), CPT, HCPCS, and ICD-10-CM coding as applied to primary care, ED professional fee, and/or hospital-based outpatient services.
Preferred - Primary Care / ED Profee / HB Outpatient
• Certified Evaluation and Management Coder (CEMC) credential.
• Experience coding both ED professional fee and hospital-based outpatient encounters.
Physical Demands and Work Environment
Work Environment: Operates in a professional office or remote home office environment, with occasional travel to client or organizational sites as needed.
Physical Demands: This is largely a sedentary role; however, employees may need to use keyboards, mouse, and other devices for typing, clicking, and navigating software systems.
Schedule: Standard business hours with occasional flexibility required to support physician availability or escalated case turnaround.
