Coder I

Responsible for coding all services, including major and minor surgical cases, for MyMichigan Medical Group, Family Practice Center, and MyMichigan Urgent Care locations. The role ensures compliance with third-party payer guidelines while supporting accurate and timely reimbursement. The position requires broad knowledge of payer rules, procedure terminology, and ICD/CPT coding standards.

Responsibilities

• Code visits and services performed in both office and hospital settings within 48 hours of receipt.
• Use Epic coding edits, CPT Assistant, and CMS coding guidelines to correct ICD, CPT, HCPCS, modifiers, and place of service information to ensure clean claims.
• Code major and minor surgical cases, including obstetrics, within 48 hours of receipt.
• Collaborate with physicians/providers to improve documentation.
• Participate in continuing education to enhance coding knowledge.
• Review accounts related to patient or payer complaints or concerns and communicate resolutions as needed.
• Meet established productivity guidelines.
• Perform other duties as assigned.

Working Conditions

• Must be able to work independently and handle multiple tasks.
• May involve stressful situations, public contact, trauma, grief, and death.
• Sedentary position with frequent sitting, standing, and walking as needed.
• May require exposure to bloodborne pathogens and other potentially infectious material.