Medical Coding Specialist
$65kIntegra Partners
The Medical Coding Specialist provides coding expertise to support Utilization Management operations, health plan implementations, prior authorization program development, and clinical policy initiatives. This position is responsible for researching, analyzing, and interpreting HCPCS, CPT, and ICD-10 coding guidance to support accurate prior authorization requirements, coding resources, and client deliverables across Medicare, Medicaid, Commercial, and Marketplace lines of business.
The Medical Coding Specialist partners with clinical, operational, compliance, business development, and client teams to ensure coding recommendations are accurate, compliant, and operationally sound. Success in this role requires strong attention to detail, critical thinking, organization, and the ability to produce high quality work while managing multiple priorities.
JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES
The Medical Coding Specialist's responsibilities include, but are not limited to:
Coding Support
• Research, analyze, and interpret HCPCS Level II, CPT, ICD-10-CM, and related coding guidance.
• Review coding resources, CMS guidance, payer policies, and regulatory requirements to support coding decisions.
• Assist with determining prior authorization requirements and appropriate code categorization.
• Apply coding knowledge across Medicare, Medicaid, Commercial, and Marketplace products.
Prior Authorization Program Support
• Develop, validate, and maintain Prior Authorization code lists and coding reference materials.
• Support implementation of new health plans, benefit designs, and coding configurations.
• Review client specific coding requirements and ensure recommendations align with contractual and regulatory requirements.
• Identify opportunities to improve coding consistency and operational efficiency.
Quality Review
• Perform thorough self review of work prior to submission to ensure accuracy, completeness, and consistency.
• Validate coding deliverables for duplicate records, formatting, categorization, and completeness.
• Maintain accurate documentation supporting coding decisions and recommendations.
• Meet established quality standards and project deadlines.
Research and Problem Solving
• Research unfamiliar coding scenarios using available coding resources and regulatory guidance.
• Identify questions or areas requiring clarification early in the work process.
• Present questions with supporting research and a recommended approach when seeking guidance.
• Participate in discussion and resolution of coding issues with internal stakeholders.
Collaboration
• Serve as a coding resource for Medical Management and other internal departments.
• Partner with clinical, operational, provider relations, credentialing, compliance, and business development teams on coding related initiatives.
• Support client implementations, operational projects, and coding validation activities.
• Participate in internal and external meetings as needed.
Education and Continuous Improvement
• Maintain current knowledge of coding regulations, CMS guidance, and industry best practices.
• Assist with development of coding guidance documents, training materials, and internal reference tools.
• Participate in audits, quality improvement initiatives, and accreditation activities.
• Perform other duties as assigned.
EDUCATION:
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or equivalent coding certification required/accepted.
• High school diploma or equivalent required.
• Associate's or Bachelor's degree in Health Information Management, Healthcare Administration, or related field preferred.
EXPERIENCE:
• Minimum of 3 years of medical coding experience.
• Experience with HCPCS, CPT, and ICD-10 coding required.
• Experience supporting health plans, utilization management, prior authorization, DMEPOS, or payer operations preferred.
• Knowledge of Medicare, Medicaid, and Commercial coding methodologies preferred.
• Experience reviewing CMS guidance, payer policies
SALARY: $65,000/Annually
Benefits Offered
Competitive compensation and annual bonus program
401(k) retirement program with company match
Company-paid life insurance
Company-paid short term disability coverage (location restrictions may apply)
Medical, Vision, and Dental benefits
Paid Time Off (PTO)
Paid Parental Leave
Sick Time
Paid company holidays and floating holidays
Quarterly company-sponsored events
Health and wellness programs
Career development opportunities
Remote Opportunities
We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington.
Our Story
Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits.
With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.
Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.
Powered by JazzHR
- Integra Partners is seeking a Medical Coding Specialist to support Utilization Management, health plan implementations, and prior authorization program development. The role involves researching and interpreting HCPCS, CPT, and ICD-10 guidance to support accurate coding...SuggestedRemote job
- ...Medical Coding And Price Transparency Specialist We need YOU! Join Henry Ford Health as a Medical Coding and Price Transparency Specialist and play an important role in helping patients better understand and prepare for the cost of their healthcare. In this highly...Suggested
- Henry Ford Health is seeking a Medical Coding and Price Transparency Specialist to help patients understand and prepare for healthcare costs. You will provide accurate pricing estimates, assist with insurance and self-pay options, and work closely with clinics and the...SuggestedWork at office
- ...Medical Review SpecialistMedlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix®... ...appropriate review guidelines, assesses appropriate use of medical coding; identifies over-utilization of treatment and makes appropriate...SuggestedWork at officeRemote work
- ...Henry Ford Health System is seeking an administrative support specialist to provide clerical assistance in a hospital setting. The role... ...demographic information. You will also handle authorizations, medical record releases, and appointment coordination. Extra duties include...SuggestedDaily paidWork at office
- Arcturus Healthcare Plc in Troy, Michigan is seeking an experienced Medical Biller to join our in-office team. The role focuses on accurate coding, claims submission, and clear patient billing communications. Ideal candidates have 1-2 years of medical billing experience...Full timeWork at office
- The Weight Room Assistant position in the Athletic Director’s Office is responsible for assisting with operating the weight room for student-athletes; assisting in teaching/training of sound techniques to insure the safety of student-athletes; working with athletic training...Work experience placementWork at officeLocal areaImmediate start
- ...membersRequirementsAccredited High School diploma, general education development ("GED") credential, or equivalentComfortable around blood, needles, and medical equipmentPhysically able to work long shifts on your feetWilling to float between local clinics if neededFlexible schedule...Local areaShift workDay shiftAfternoon shift
- ...you and your eligible dependents Work-life balance, including Paid Time Off and Paid Holidays Competitive benefits including medical, dental, and vision insurance Help saving for retirement, with a 401(k) that includes a generous company match A sense of belonging...Full timeLocal areaShift workDay shift
- .... Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase...Temporary workWork experience placementCasual workInternshipWork at officeMonday to FridayFlexible hours
- Quest Diagnostics - 38815 Dequindre Road - Responsibilities: Collect specimens according to established procedures, including drug screens and biometric screenings; Administer oral solutions according to training; Verify test orders by consulting lab technology systems...
- ...Hearing Aid Specialist Responsible for performing exams, taking ear impressions, fitting,... .../strategies that are consistent with the Code of Ethics. Mentors employees enrolled in... ...including paid time off, health benefits - medical/dental/vision/hearing aid/pharmacy/behavioral...Temporary workApprenticeshipWork at office
$22 per hour
LifeStance Health Inc. is seeking a Medical Office Receptionist for our Southfield, MI location. The role involves managing front office activities and delivering high-quality patient service for in-person and remote patients. This full-time position offers compensation...Hourly payFull timeWork at officeRemote work- ...training pipelines, plus top AI researchers who specialize in coding, reasoning, STEM, multilinguality, multimodality, and agents; and... ...'ll design evaluation methods that test AI performance on real medical problems where clinical expertise makes the difference. Design...Remote jobFlexible hours
- Michigan Orthopaedic Surgeons in Southfield is seeking a Medical Biller to manage the accurate billing and timely submission of claims... ...services. The role focuses on reviewing charges, CPT and ICD-10 coding, and ensuring patient and insurance data are correct to...
- After-school companion needed to provide support and supervision. Assist with homework, engage in recreational activities, and ensure safety and well-being. Flexible hours. Must be dependable and have good communication skills. Qualifications A love of working...Flexible hours
$18 - $25 per hour
[Caregiver / Patient Care] - Competitive Hourly Rate ($18-$25 per hour) / Fully Flexible Scheduling (Morning, Afternoon, Evening, or Night) - As a Companion Care at Sittercity, you will: Provide companionship and emotional support to clients in their homes; Assist with ...Hourly payImmediate startFlexible hoursNight shiftDay shiftAfternoon shift- ...procedure areas including inpatient, outpatient, emergency and high risk Intensive Care Unit (ICU). Effectively communicates with medical employees to ensure all required medical supplies and medications are appropriately transported with the patient including the...Part timeImmediate startShift workNight shiftWeekend work
- ...you and your eligible dependents Work-life balance, including Paid Time Off and Paid Holidays Competitive benefits including medical, dental, and vision insurance Help saving for retirement, with a 401(k) that includes a generous company match A sense of belonging...Full timeLocal areaShift workDay shift
- ...Responsibilities Perform accurate and thorough diagnostic tests Take patient histories and document all findings accurately in electronic medical records system Provide patient education on preoperative and postoperative instructions, including medication use and...Flexible hours
- A leading healthcare provider is seeking a radiologic technician for their Rochester, Michigan location. The role involves assisting with diagnostic imaging procedures, patient preparation, and safety compliance with legislative standards. Candidates should have relevant...Relief
- ...Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Assistant to join our team! As a Medical Assistant, you will be preparing for each patient visit by preparing charts and pulling notes...Work at office
- ...Job Description Job Description Synergy Health Partners is looking for a full-time Hybrid Medical Assistant to work in our Troy Clinic location. This role supports a private-practice orthopedic, spine, and physical therapy clinic. Under limited supervision the Medical...Full timePrivate practiceWork at office
$18 per hour
...Job Description Job Description We are seeking a dedicated clinical Medical Assistant to join our healthcare team in a full-time or part-time capacity. Starting pay is $18.00 per hour, with opportunities for scheduled performance and compensation reviews over time....Hourly payFull timePart time$17 - $20 per hour
...Job Description Job Description Are you a Medical Assistant with proficient experience drawing blood? Are you great with customers and love meeting new people? How about working in a fun, relaxed environment? Then, JOIN OUR TEAM!! Any Lab Test Now is a walk-in retail...Full timeMonday to FridayShift work- ...Job Description Job Description Medical Assistant Job Summary ~ Assists physicians, nurses, and other medical staff by performing administrative and clinical duties. ~ General Accountabilities ~ Prepares treatment rooms for patient examinations. ~ Cleans...
- ...successful completion of the organization dialysis training program and successful completion of CPR certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal...Immediate startRotating shiftWeekend workDay shift
- ...Job Description Job Description As a Medical Assistant, you will be integral to delivering high-quality patient care and administrative support within a healthcare setting. Reporting to the healthcare provider, your responsibilities will include medication administration...
- Henry Ford Health in Saint Clair Shores seeks a qualified Dietitian/Nutritionist to provide medical nutrition therapy and evaluate treatment effectiveness. The role includes assessing patients and collaborating with healthcare teams for optimal nutrition care. Applicants...Day shift
- ...experience a plus including: BONENT Certified, Certified Hemodialysis Technician (CHT), Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), or Phlebotomy certification. What We Offer Paid training with ongoing education and career paths...Minimum wageFull timeSeasonal workFlexible hoursWeekend workAfternoon shift3 days per weekEarly shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Coding Specialist. Be the first to apply!
- medical insurance specialist Troy, MI
- medical writing work from home Troy, MI
- medical engineer Troy, MI
- medical prior authorization specialist Troy, MI
- non emergency medical transportation Troy, MI
- medical intern Troy, MI
- remote medical data entry Troy, MI
- medical call center Troy, MI
- medical equipment delivery driver Troy, MI
- medical driver Troy, MI



