Role Description PQC is seeking qualified Inpatient Coder Specialists to support a high-impact project with the Defense Health Agency (DHA). In this role, you will be responsible for accurate medical coding and billing processes that directly support patient care operations within the Military Health System (MHS). This position requires a strong understanding of inpatient coding guidelines, attention to detail, and the ability to navigate healthcare systems. If you thrive in a fast-paced environment and are passionate about precision and compliance, this is an opportunity to contribute to a mission-driven healthcare system serving military members and their families. Key Responsibilities - Medical Coding & Classification: Accurately assign diagnosis and procedure codes for inpatient facility and professional services, including ICD-10-CM, ICD-10-PCS, E&M, CPT, and HCPCS codes, along with appropriate modifiers and units of service, based on medical record documentation. - Documentation Review & Query Resolution: Review patient encounter documentation to identify inconsistencies, ambiguities, or discrepancies; initiate and resolve coding queries with providers to ensure accurate and complete code assignment. - System Utilization & Data Access: Utilize MHS GENESIS® and other military health system platforms to access patient records, perform coding functions, and support remote coding efforts across multiple military treatment facilities (MTFs) as directed. - Coding Compliance & Regulatory Adherence: Ensure adherence to DHA coding compliance standards by applying ethical coding practices, interpreting official guidance, and seeking clarification through appropriate channels when needed. - Productivity & Quality Performance: Achieve and maintain established productivity benchmarks and a minimum 97% coding accuracy rate in alignment with organizational standards. - Provider Education & Support: Educate providers and clinical staff on documentation and coding requirements; provide feedback, answer questions, and offer examples to improve documentation quality and coding accuracy. - Collaboration & Subject Matter Expertise: Serve as a coding resource for medical staff; collaborate with auditors, trainers, and compliance personnel to support audits, training initiatives, and continuous improvement efforts. Qualifications - Minimum of four (4) years of experience coding and/or auditing in two (2) or more medical, surgical, and ancillary specialties within the past 10 years (required); OR - Minimum of two (2) years of experience if that experience was in support of a military treatment facility. - Experience coding and/or auditing same day surgery, emergency department, observation. Requirements - Education: Completion of ONE of the following: - Associate’s degree or higher in Health Information Management, Healthcare Administration, Biological Science, or a related field. - University certificate in medical coding. - Minimum of 30 semester hours of college coursework in relevant subjects (e.g., anatomy and physiology, medical terminology, health information management, pharmacology). - Successful completion of a coding certification preparation course (professional or facility) through American Academy of Professional Coders or American Health Information Management Association. - Completion of an advanced (post-apprentice) medical training program through the U.S. Armed Forces or U.S. Maritime Service (e.g., medical technician, hospital corpsman, or medical service specialist). - Certification: Must hold BOTH: - One (1) Professional Coding Certification (through AAPC or AHIMA), such as: - Certified Professional Coder (CPC) - Certified Coding Specialist – Physician (CCS-P) - Registered Health Information Administrator (RHIA) - Registered Health Information Technician (RHIT) - One (1) Institutional Coding Certification (through AAPC or AHIMA), such as: - Certified Inpatient Coder (CIC) - Certified Coding Specialist (CCS) - Certified Outpatient Coder (COC) - Registered Health Information Administrator (RHIA)* - Registered Health Information Technician (RHIT)* - Note: RHIA and RHIT credentials may be applied toward either the professional or institutional certification requirement. Company Description PQC is 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, or veteran status.

Title: Specialist Charge -RIO Location: Livonia, Michigan Job Description: Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Position (Pay Range: $24.5303-$36.7954) Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing department information, producing reports, & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications. Note: “patients” refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts. Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. Functional Role (not inclusive of titles or advancement career progression) Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Assist Nurse Auditor and/or other stakeholders with denial related charge reviews, including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department. Performs daily reconciliation processes and/or provides “at-elbow support” to ancillary departments including but not limited to; ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors. Minimum Qualifications - High school diploma or GED - Minimum three (3) years of relevant coding and charge control work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. - Experience working with current clinical processes, charge master maintenance, clinical coding guidelines, charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field. - Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations. - Experience working with Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB). - Ability to perform charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ability to investigate charge errors accordingly. Epic experience desired. - Experience working with Hospital and/or Physician group practice revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors. Additional Qualifications (nice to have) - Licensure/Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse/ Licensed Practical Nurse licensure is required. CHC (Healthcare Compliance Certification) preferred. CHRI certification/membership strongly preferred. - Knowledge of clinical documentation improvement processes strongly preferred Physical & Mental Requirements & Working Conditions (General Summary) Direct Healthcare Services / Indirect Healthcare / Support Services: - Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional - Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional - Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional - Exposure to interruptions, shifting priorities & stressful situations. Frequent - Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Frequent - Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent - Perform manual dexterity activities & / or grasping / handling. Continuous - Ability to climb, kneel, crouch & / or operate foot controls. Occasional - Use a computer / other technology. Frequent - Sit with the ability to vary / adjust physical position or activity. Frequent - Maintain a safe working environment & use available personal protective equipment (PPE). Continuous - Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines. Continuous - Ability to provide assistance in the event of an emergency. Occasional Direct Healthcare Services: - Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional - Lift a maximum of 30 pounds unassisted. Occasional - Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Occasional - Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous - Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional - Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional Indirect Healthcare / Support Services: - Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional - Lift a maximum of 30 pounds unassisted. Occasional - Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional - Encounter a clinical / patient facing / hands on interactive work environment. Occasional - Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous - Work outdoors with variable external environmental conditions. Occasional Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%) 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.

Role Description As an Educator, you will be a vital contributor to the planning, coordination, and delivery of essential healthcare-related educational and training programs. Every day, you will actively assist in scheduling and conducting diverse healthcare training programs. You will also provide direct coordination and/or instruction in various educational initiatives, ensuring effective learning experiences for all participants. To be successful in this role, you will combine strong organizational and presentation skills with a deep understanding of healthcare education, a passion for teaching, and the ability to effectively engage and train diverse groups of healthcare professionals and staff. - Acts as documentation and coding liaison to clinicians, including review, education, and necessary follow-up to ensure compliance with government and organizational policies and procedures. - Analyzes and provides education on revenue capture, clinical documentation including Electronic Health Record (EHR) requirements, coding accuracy, and denial management to clinicians and clinic staff. - Assists in determining educational needs based on documentation reviews, provider/staff feedback, and data analysis (bell curves). - Performs a minimum of an annual review of each clinician in their assigned specialties to identify clinical documentation and coding areas that require improvement and additional education. - Reviews documentation and coding for new providers for accuracy and charge capture as per standard. - Prepares necessary reports and communicates results of audits to management, clinicians, and committees as appropriate. Qualifications - Certified Professional Coder, upon hire - Certified Professional Coder Hospital Apprentice, upon hire - Certified Professional Coder Apprentice, upon hire - Certified Coding Associate, upon hire - Cardiology Coding, upon hire - Certified Coding Specialist, upon hire - Certified Coding Specialist - Physician Based, upon hire - Certified Cardiovascular and Thoracic Surgery Coder, upon hire - Certified Health Care Compliance, upon hire - Certified Interventional Radiology Cardio Coder, upon hire - Certified Professional Coder Hospital, upon hire - Radiology Certified Coder, upon hire - Registered Health Information Administrator, upon hire - Registered Health Information Technician, upon hire

• Abstracts and codes physician professional services and diagnosis codes • Assigns appropriate CPT and ICD9 codes • Completes coding and billing worksheet • Ensures charges are captured by performing various reconciliations • Provides documentation feedback to physicians • Maintains coding reference information • Trains physicians and other staff regarding documentation, billing and coding • Reviews and communicates new or revised billing and coding guidelines