CBO Coding Specialist - Full Time Days - Remote (Michigan Residents)

About the Role

The CBO Coding Certified Specialist reviews, analyzes, and validates diagnostic and procedural codes applied by front-end coding and clinical teams for reimbursement and billing purposes. This role accurately abstracts information from the electronic health record to compile a patient database supporting medical research, patient care evaluation, and administrative decision-making. The coding function ensures compliance with coding guidelines, third-party reimbursement policies, and regulatory standards while optimizing reimbursement and maintaining data integrity.

Responsibilities

• Review and validate diagnostic and procedural codes for accuracy and compliance.
• Abstract information from electronic health records to support medical research, patient care, and administrative decisions.
• Ensure adherence to coding guidelines, reimbursement policies, and regulatory requirements.
• Identify patterns and trends in coding data and escalate findings for root-cause analysis.
• Assist team members and support collaboration within the coding team.
• Uphold standards outlined in the HFHS Code of Conduct, adhering to legal and ethical guidelines.

Requirements

• High school diploma or G.E.D. equivalent required.
• Billing or coding experience preferred; prior healthcare revenue cycle experience is a plus.
• Some college coursework in Accounting, Business, Healthcare Administration, or Medical Record Sciences preferred.
• Thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems (ICD-10 CM, CPT, HCPCS).
• Six months of prior coding experience preferred but not required.
• Strong organizational and time management skills to prioritize work effectively.
• Ability to communicate clearly with colleagues, supervisors, and managers.
• Ability to work independently and remotely.

Qualifications

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

Shift: Day Job