CBO Coding Senior Specialist - Revenue Cycle

Henry Ford Health; Troy (MI); On-site; USD 75,000 - 110,000; Full time

Job summary

Henry Ford Health in Detroit is seeking a CBO Coding Senior Specialist to resolve complex diagnostic accounts, ensure coding accuracy, and educate the team on workflows within a large healthcare system.

You will drive compliant claims, support performance improvements across revenue cycle, and collaborate with multidisciplinary teams to uphold standards of coding efficiency.

Qualifications

• High school diploma or GED required.
• Minimum of five (5) years coding experience.
• Minimum of five (5) years specialty coding experience.
• Minimum of two (2) years of revenue cycle experience in a large healthcare system.
• Additional specialty coding certification or 10 years coding experience.
• Certification as RHIT, CPC, or CCS.
• Thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
• Proficiency in ICD-10 CM, CPT, and HCPCS coding.

Responsibilities

• Resolve complex diagnostic accounts independently, ensuring accuracy and completeness of coding.
• Act as a subject matter resource, educating team members on account resolution workflows.
• Assist supervisors with escalated issues and provide coaching to team members on challenging accounts.
• Identify areas for performance improvement in workflows, education, and processes.
• Perform quality validation of information to ensure clean, compliant claims are sent to payers.
• Support root-cause analysis by recognizing patterns and trends in coding and billing issues.

Skills

ICD-10 CM

CPT

HCPCS

Medical Terminology

Pharmacology

Coding Accuracy

Training / Coaching

Attention to Detail

Root-Cause Analysis

Education

High School Diploma or GED

RHIT Certification

CPC Certification

CCS Certification

College Coursework in Accounting/Healthcare Administration

Job description

CBO Coding Senior Specialist - Revenue Cycle

• Full-time

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus.

Our Central Business Office (CBO) is dedicated to ensuring the accuracy and compliance of medical coding and billing processes across our healthcare system. Working here, you'll be part of a dynamic team that supports the financial health of our organization while contributing to the exceptional care we provide. Enjoy a walkable, artsy environment with easy access to public transportation, shops, and cafes.

Role Overview

As a CBO Coding Senior Specialist, you will resolve complex diagnostic accounts, act as a subject matter expert, and educate team members on account resolution workflows. Your role is critical in ensuring compliant claims are sent to payers, preventing denials, and driving performance improvements across the revenue cycle. You’ll work independently and collaborate with multidisciplinary teams to uphold the highest standards of coding accuracy and efficiency.

Why Henry Ford Health

At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible.

What You Will Do

• Resolve complex diagnostic accounts independently, ensuring accuracy and completeness of coding.
• Act as a subject matter resource, educating team members on account resolution workflows.
• Assist supervisors with escalated issues and provide coaching to team members on challenging accounts.
• Identify areas for performance improvement in workflows, education, and processes.
• Perform quality validation of information to ensure clean, compliant claims are sent to payers.
• Support root-cause analysis by recognizing patterns and trends in coding and billing issues.

Required:

• High school diploma or G.E.D. equivalent.
• Minimum of five (5) years coding experience.
• Minimum of five (5) years specialty coding experience.
• Minimum of two (2) years of revenue cycle experience in a large healthcare system.
• Additional specialty coding certification or 10 years coding experience.
• Certification as a Registered Health Information Technician (RHIT), CPC, or CCS.
• Thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
• Proficiency in ICD-10 CM, CPT, and HCPCS coding.

Preferred:

• One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration, or Medical Record Sciences.

At Henry Ford Health, you'll find opportunities for career growth, collaboration with dedicated professionals, and the chance to contribute to mission-driven work. We foster a culture of continuous learning and innovation, empowering you to make a meaningful impact in healthcare.

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