Livonia, MI · Remote
$32.50 - $43.75/hr
Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient ...
Livonia, MI · Remote
$32.50 - $43.75/hr
Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient ...
Troy, MI · On-site +1
$17.75 - $24.25/hr
... inpatient hospitals, outpatient clinics, laboratory, radiology and employed physicians ... Supports the standards set forth in the Henry Ford Health Code of Conduct by adhering to legal ...
Troy, MI · On-site +1
$17.75 - $24.25/hr
... inpatient hospitals, outpatient clinics, laboratory, radiology and employed physicians ... Supports the standards set forth in the Henry Ford Health Code of Conduct by adhering to legal ...
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Union Code: Not Applicable
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Union Code: Not Applicable
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Union Code: Not Applicable
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Union Code: Not Applicable
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Union Code: Not Applicable
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Union Code: Not Applicable
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Understanding of CPT/HCPCS codes and revenue coding is preferred. * Knowledge of insurance ...
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Understanding of CPT/HCPCS codes and revenue coding is preferred. * Knowledge of insurance ...
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Understanding of CPT/HCPCS codes and revenue coding is preferred. * Knowledge of insurance ...
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Understanding of CPT/HCPCS codes and revenue coding is preferred. * Knowledge of insurance ...
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Understanding of CPT/HCPCS codes and revenue coding is preferred. * Knowledge of insurance ...
... across all HFH hospitals, outpatient clinics, and employed physician practices. EDUCATION ... Understanding of CPT/HCPCS codes and revenue coding is preferred. * Knowledge of insurance ...
Grand Rapids, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Grand Rapids, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Ann Arbor, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Ann Arbor, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Detroit, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Detroit, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Warren, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Warren, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Sterling Heights, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Sterling Heights, MI · Remote
$29.05 - $67.97/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Includes standard and expedited cases, inpatient, outpatient, and pharmaceutical authorization ...
Flint, MI · On-site +1
... outpatient care and relate this information to the Revenue Cycle teams for billing purposes ... Two (2) years of healthcare experience in authorizations, coding, patient registration, billing, or ...
Flint, MI · On-site +1
... outpatient care and relate this information to the Revenue Cycle teams for billing purposes ... Two (2) years of healthcare experience in authorizations, coding, patient registration, billing, or ...
Livonia, MI · On-site +1
$31.88 - $47.82/hr
... Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures ... Outpatient CDI experience. * Working knowledge of Electronic Health Records (EHR). Our Commitment ...
Livonia, MI · On-site +1
$31.88 - $47.82/hr
... Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures ... Outpatient CDI experience. * Working knowledge of Electronic Health Records (EHR). Our Commitment ...
| Aspect | Remote Outpatient Coding | Remote Inpatient Coding |
|---|---|---|
| Certifications | CPCA, CPC, CCS | CCS, CPC, CCS |
| Work Environment | Outpatient clinics, physician offices, outpatient departments | Hospitals, inpatient facilities, acute care settings |
| Industry Usage | Ambulatory care, outpatient services | Hospital inpatient services, acute care |
| Job Focus | Outpatient procedures, diagnoses, outpatient billing | Inpatient procedures, diagnoses, hospital billing |
Remote Outpatient Coding involves coding outpatient procedures and diagnoses typically performed in clinics or outpatient departments, requiring certifications like CPC or CCS. Remote Inpatient Coding focuses on hospital inpatient records, often requiring CCS certification. While both roles involve medical coding, they differ mainly in work environment and the type of patient records handled.
Remote outpatient coding jobs focus on processing medical paperwork. In this field, your duties may include reviewing billing and insurance claims, sending an invoice to a patient after calculating the amount owed, coding the diagnosis and procedure used for the patient, and providing other clerical services as needed. A remote outpatient coding job is a work from home position that can function independently or as part of a full virtual clinic. Remote outpatient coders frequently enter assigned codes into computer abstraction systems, review records for completeness and accuracy, contact health care staff to clarify questions, and ensure patient confidentiality.
$32.50 - $43.75/hr
Full-time
Posted 29 days ago
6.5
Based on 349 frontline employees who took The Breakroom Quiz
593rd of 872 rated healthcare providers
Purpose
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization's strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Work Focus:
Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Responsible for distribution of analytical reports.
Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis:
Research & compiles information to support ad-hoc operational projects & initiatives.
Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Functional Role (not inclusive of titles or advancement career progression)
Obtain appropriate clinical documentation through extensive interaction with providers and coding staff to ensure documentation reflects level of service rendered to patients is complete and accurate.
Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient population by collaborating with physicians & advanced practice providers.
Conduct thorough prospective & sometimes retrospective quality reviews of ambulatory patient records, documenting all relevant findings & tracking key information through the process.
Identify areas where documentation requires clarification & engagement with physicians, advanced practice providers & other healthcare professionals to effectively resolve discrepancies.
Ensures medical record documentation is accurate, complete, & compliant, supporting acute or chronic conditions & medical necessity.
Applies through understanding of payment structures, outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to documentation, coding & billing regulations for assigned service area.
pay grade 13 range 75,592.7054-113,389.0581 Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles.
Minimum Qualifications
Associate's degree in Business, healthcare, Nursing or related field, or equivalent combination of education & experience
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting experience.
Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience.
Additional Qualifications (nice to have)
Bachelor's degree in nursing, HIM or related healthcare field.
Physical & Mental Requirements & Working Conditions (General Summary)
Direct Healthcare Services / Indirect Healthcare / Support Services:
Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional
Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional
Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
Exposure to interruptions, shifting priorities & stressful situations. Frequent
Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous
Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
Perform manual dexterity activities & / or grasping / handling. Occasional
Ability to climb, kneel, crouch & / or operate foot controls. Occasional
Use a computer / other technology. Frequent
Sit with the ability to vary / adjust physical position or activity. Continuous
Maintain a safe working environment & use available personal protective equipment (PPE). Continuous
Comply with applicable Code of Conduct, policies, procedures & guidelines. Continuous
Ability to provide assistance in the event of an emergency. Occasional
Direct Healthcare Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Frequent
Lift a maximum of 30 pounds unassisted. Occasional
Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Occasional
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional
Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional
Indirect Healthcare / Support Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
Encounter a clinical / patient facing / hands on interactive work environment. Occasional
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Work outdoors with variable external environmental conditions. Occasional
Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)
The above statements provide a representative description of the nature & level of work being performed by persons assigned to positions within this job description. This is not an exhaustive list of essential functions, conditions & duties; other job-related tasks may be required. Additional detail may be provided by policies, procedures, guidelines, protocols, standards & other communications. Requests for reasonable accommodation will be considered in compliance with federal, state & local law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Health care and social assistance
10,000+ Employees
Livonia, MI, US
