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Title: Medical Coding Specialist

Location: Detroit, Michigan

Duration: Contract 7 months

Work Schedule: Hybrid (in-office once a week)

Pay: $32.00/hr on W2

Description

This position is responsible for reviewing and researching new code changes released by the Coding Authorities (AMA, CMS) and implementing them into PPO and HMO Commercial Business systems. The role involves collaboration with Physicians and other team members to ensure proper code usage, claim processing, and system updates.

Job Responsibilities

• Review and analyze updates from AMA, CMS, and other coding authorities for implementation.
• Investigate and formulate solutions for mapping activities and coding challenges.
• Collaborate with physicians, coding teams, and other departments on claim systems and benefits.
• Maintain compliance with current CPT, HCPCS, ICD-10-CM, and ICD-10-PCS codes.
• Utilize tools such as NASCO, MOS, and BCU systems for efficient processing.
• Support cross-functional teams with reporting, system updates, and project tasks.

What You'll Do:

• Review and research updates from coding authorities (AMA, CMS) to ensure accurate implementation of new codes for PPO and HMO Commercial Business.
• Analyze and resolve coding mapping activities and other related challenges to maintain system accuracy.
• Collaborate with physicians and team members to align coding processes with claims and benefits systems.
• Utilize coding manuals, tools, and industry standards such as CPT, HCPCS, ICD-10-CM, and ICD-10-PCS.
• Work with NASCO, MOS, and BCU systems for coding integration and claims management.
• Communicate effectively to support interdisciplinary collaboration and provide coding expertise.
• Maintain proficiency in coding compliance and contribute to system improvements.

What You'll Need:

• Required:
• Bachelor’s degree in a related field or a strong coding background with progress toward a degree.
• Proficiency with medical coding standards (CPT, HCPCS, ICD-10-CM, ICD-10-PCS).
• RHIT, RHIA, or CCS certification is strongly preferred.
• Experience with PPO and HMO claim systems.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office tools (Word, Excel, Outlook, Teams).