CBO Coding Specialist - Full Time - Remote/Michigan Residents

Henry Ford Health System; Detroit (MI); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a CBO Coding Certified Specialist to ensure accurate coding and compliance in healthcare billing. This role involves analyzing and validating codes from clinical teams, supporting patient care evaluation, and contributing to medical research projects. The ideal candidate will have a strong background in medical terminology and coding systems, with the ability to work independently and communicate effectively. Join a dynamic team dedicated to optimizing healthcare reimbursement and improving patient care through accurate data management.

Qualifications

• Knowledge of anatomy, physiology, and disease processes.
• Proficient in coding systems like ICD-10, CPT, and HCPCS.

Responsibilities

• Review and validate diagnostic and procedural codes for billing.
• Abstract information from electronic health records for patient databases.

Skills

Medical Terminology

ICD-10 CM Coding

CPT Coding

HCPCS Coding

Organizational Skills

Time Management

Communication Skills

Problem Solving

Education

High School Diploma or G.E.D.

Some College or Coursework in Healthcare Administration

Certification as RHIT or CPC

Job description

GENERAL SUMMARY:

Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health 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. The coding function also ensure compliance with established coding guidelines, third party reimbursement policies, and regulation and accreditation guidelines.

EDUCATION/EXPERIENCE REQUIRED:

• High school diploma or G.E.D. equivalent required.


• Billing or coding experience preferred.


• Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.


• Prior experience in a healthcare revenue cycle position preferred.


• Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.


• Six (6) months prior coding experience preferred, but not required.


• Strong organizational and time management skills required to effectively prioritize work.


• Ability to communicate effectively with colleagues, supervisor, and manager.


• Ability to work independently.


• Ability to work remotely.


• Proficient in medical terminology.


• Proficient in ICD-10 CM, CPT and HCPCS coding.


• Able to recognize patterns and trends and escalate to supervisors to support root-cause analysis.


• Able to assist other team members.


• Supports the standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines.

CERTIFICATIONS/LICENSURES REQUIRED:

• Certification as a Registered Health Information Technician (RHIT), RHIT Certification eligibility, or CPC, CPC-A, CCS, CCP or CCA certification required.

Additional Information

• Organization: Corporate Services


• Department: CBO Coding PB


• Shift: Day Job


• Union Code: Not Applicable