Clinical Coding & Revenue Integrity Specialist

Emergent Health Partners; Ann Arbor (MI); On-site; USD 60,000 - 80,000; Full time

Job summary

Emergent Health Partners is seeking a Clinical Coding & Charge Entry specialist to assign ICD-10-CM and CPT/HCPCS codes based on clinical documentation and translate transport data into billable charges.

The role includes auditing demographics, verifying insurance eligibility, and ensuring records meet billing guidelines to minimize front-end rejections. Candidates should have strong data entry skills and familiarity with ePCR systems.

Qualifications

• At least 3 years of experience with Medical Insurance.
• Experience with ICD-10-CM coding and CMS billing rules.
• Ability to review clinical narratives for billing accuracy.

Responsibilities

• Assign and sequence ICD-10-CM and CPT/HCPCS codes from clinical documentation.
• Translate transport data into billable charges matching ePCR documentation.
• Maintain up-to-date knowledge of coding bundles, modifiers and global periods to prevent denials.
• Conduct demographic and insurance eligibility audits and verify payer details.
• Review ePCRs for signatures and missing documentation; flag and route send-backs.
• Research and resolve basic claim edits or denials; update notes on rebilled claims.
• Perform data corrections in HealthEMS and related ePCR systems; coordinate via Slack.

Skills

ICD-10-CM coding

CMS billing rules

Medical necessity

Data entry

Problem solving

Written communication

Medical narratives

Organizational skills

Multitasking

Tools

HealthEMS

ePCR programs

Slack

Job description

Emergent Health Partners is seeking a Clinical Coding & Charge Entry specialist to assign ICD-10-CM and CPT/HCPCS codes based on clinical documentation and translate transport data into billable charges.

The role includes auditing demographics, verifying insurance eligibility, and ensuring records meet billing guidelines to minimize front-end rejections. Candidates should have strong data entry skills and familiarity with ePCR systems.