Coding Complex Specialist - Revenue Cycle

Henry Ford Health; Detroit (MI); On-site; USD 60,000 - 90,000; Full time

Job summary

Henry Ford Health is seeking a Coding Complex Specialist to ensure accurate healthcare reimbursement and data integrity. You will review and validate codes, apply coding principles, and support research and administrative decisions.

The role requires RHIT/CPC/CCS certification, ICD-10-CM/CPT/HCPCS proficiency, and strong attention to detail. Remote work options are available, with a team-focused culture aimed at delivering high-quality patient care and compliant coding practices.

Qualifications

• High school diploma or GED required.
• Minimum 2 years of coding experience in a healthcare revenue cycle setting.
• Certification: RHIT, CPC, or CCS.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems.
• Strong medical terminology, anatomy and physiology knowledge.
• Excellent organizational and time-management skills.
• Ability to work remotely.

Responsibilities

• Review, analyze, and validate diagnostic and procedural codes from front-end coding and clinical teams.
• Apply established coding principles to optimize reimbursement while ensuring compliance with third-party policies and regulations.
• Abstract data from electronic health records to support research, evaluations, and administrative decisions.
• Act as a data source for the healthcare team and help identify patterns and trends for root-cause analysis.
• Maintain accurate patient databases to support continuity of care and operational excellence.

Skills

Attention to detail

Analytical thinking

Communication skills

Education

High school diploma or GED

College coursework (Accounting/Healthcare Admin)

Job description

Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.

Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

Job Description

As a Coding Complex Specialist in our Revenue Cycle team, you'll play a vital role in ensuring accurate healthcare reimbursement and data integrity. You'll review, analyze, and validate diagnostic and procedural codes from front-end coding and clinical teams, applying established coding principles to optimize reimbursement while maintaining strict compliance with third-party policies and regulatory guidelines. Your expertise in abstracting detailed information from electronic health records will directly support critical medical research projects, patient care evaluations, and strategic administrative decisions that impact our organization. You'll serve as a trusted data source for the healthcare team, recognizing patterns and trends that drive root-cause analysis, while collaborating with colleagues to elevate coding accuracy across the department. Your attention to detail and strong organizational skills will ensure our patient database remains a reliable foundation for provider-patient continuity, quality care delivery, and operational excellence—all while upholding the highest standards of legal and ethical conduct.

Qualifications

REQUIRED:

• High school diploma or G.E.D. equivalent
• Minimum 2 years of coding experience in a healthcare revenue cycle setting
• Current certification as a Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS)
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems
• Thorough knowledge of medical terminology, anatomy, physiology, pathophysiology, and disease processes
• Strong organizational and time management skills
• Ability to work independently and communicate effectively with colleagues and supervisors
• Ability to work remotely

Preferred

• Specialty coding certification or 5+ years of coding experience
• 1-2 years of college coursework or additional training in Accounting, Business, Healthcare Administration, or Medical Record Sciences
• Experience with pattern recognition and trend analysis to support root-cause analysis
• Demonstrated ability to mentor and assist team members
• Knowledge of pharmacology and coding systems

Core Competencies

• Attention to detail and data accuracy
• Problem-solving and analytical thinking
• Commitment to legal and ethical standards in healthcare