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Trinity Health

Certified Coding Specialist

LocationLivonia, MI
Work moderemote · United States
Typefull-time
SeniorityMid
Experience2+ yrs
Company size10,000+ people
PostedOct 8, 2026 · 4d ago
Verified live14m ago
At a glanceSummarised by Seekless from the posting.
Must have11
High school diploma or equivalent required
Must have one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist, Certified Professional Coder thru AAPC or Registered Health Information Technologist or Registered Health Information Administrator thru AHIMA
Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC
Two-years of experience in a risk adjustment coding environment required
Demonstrated the ability to verify and validate HCCs
Demonstrated the knowledge and ability to work with providers on education and guidance
Demonstrated knowledge of medical terminology, human anatomy and physiology, and diseases processes
Strong communication, problem-solving, customer service, critical thinking, and organizational skills
Comprehensive proficiency with Microsoft product suite (MS Word, Excel, Power Point, etc.)
Ability to use other software as required to perform the essential functions of the job
Ability to prioritize workload
Nice to have1
2 years of completed college coursework preferred
Eligibility3
Position may require occasional travel to home office in Livonia, MI or other supported locations
Equal Opportunity Employer - all qualified applicants will receive consideration without regard to protected status
Maintains participant confidentiality and abides by HIPAA guidelines
Skills
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
ICD
CPT
HCC
HIPAA
Benefits
Health insurance
Dental insurance
Vision insurance
Paid time off
403(b)
Educational assistance
Employee referral incentives
Professional development
Employment Type:
Full time
Shift:
Day Shift
Description:
CERTIFIED RISK ADJUSTMENT CODING SPECIALIST
Location: Trinity Health PACE Corp Michigan
Status: Full time Remote
Position Purpose:
The primary purpose of this position is to assign ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing. Duties also include abstracting and validating data from medical records and providing education on documentation to support HCCs.
Position Details:
This is a fully remote position. Work hours will be 8 to 430 or 7 to 330 Eastern.
Training will take place in person in Livonia, MI for one week (expenses paid). Onsite training is required for position. Onsite training would take place during the 2nd week of employment.
What you will do:
•
Evaluate medical records to identify diagnoses and procedures and accurately assigns and sequences ICD and CPT codes. Abstracts and validates information. Seeks out validating information as needed.
•
Conduct documentation spot checks and respond to audit feedback.
•
Ensure timely, accurate client care documentation for billing.
•
Monitors and informs manager of records that are not completed timely. Monitors, investigates and takes appropriate action for records that are not coded, billed, or rejected.
•
Stay updated on coding guidelines and reimbursement requirements.
•
Maintains participant confidentiality and abides by HIPAA guidelines.
•
Assures site staff compliance with federal/state and accreditation regulations through record review, case conferencing and communication.
Minimum Qualifications:
•
High school diploma or equivalent required. 2 years of completed college coursework preferred.
•
Must have one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist, Certified Professional Coder thru AAPC or Registered Health Information Technologist or Registered Health Information Administrator thru AHIMA
•
Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must obtain within one year if hired.
•
Two-years of experience in a risk adjustment coding environment required.
•
Demonstrated the ability to verify and validate HCCs.
•
Demonstrated the knowledge and ability to work with providers on education and guidance.
•
Demonstrated knowledge of medical terminology, human anatomy and physiology, and diseases processes.
•
Strong communication, problem-solving, customer service, critical thinking, and organizational skills.
•
Comprehensive proficiency with Microsoft product suite (MS Word, Excel, Power Point, etc.); Ability to use other software as required to perform the essential functions of the job.
•
Ability to prioritize workload.
•
Position may require occasional travel to home office in Livonia, MI or other supported locations.
Position Highlights and Benefits:
•
Comprehensive benefit including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance.
•
Access to daily pay and employee referral incentives.
•
Supportive environment with a patient-centered focus.
•
Opportunities for professional development.
Ministry/Facility Information
Trinity Health PACE provides high-quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.
We are guided by core values of reverence, commitment, safety, justice, stewardship, and integrity.
Apply now!
Min Pay Range: 24.00
Max Pay Range: 36.00
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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