[Hiring] Coding Complex Specialist @Henry Ford Health

Role 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.
• Apply established coding principles to optimize reimbursement while maintaining strict compliance with third-party policies and regulatory guidelines.
• Utilize expertise in abstracting detailed information from electronic health records to support critical medical research projects, patient care evaluations, and strategic administrative decisions.
• Serve as a trusted data source for the healthcare team, recognizing patterns and trends that drive root-cause analysis.
• Collaborate with colleagues to elevate coding accuracy across the department.
• Ensure our patient database remains a reliable foundation for provider-patient continuity, quality care delivery, and operational excellence.
• Uphold the highest standards of legal and ethical conduct.

Qualifications

• 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

Requirements

• 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

Benefits

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