- Banner Health (MI)
- …and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff ... documentation to improve the quality of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for… more
- Henry Ford Health System (Detroit, MI)
- …measures/countermeasures. + Reviews and audits professional and facility coding and billing from all departments of HFH. + Conducts high-volume coding compliance ... guidelines. + Reports on the accuracy of CPT, E&M, ICD-10-CM/PCS coding, and billing to ensure compliance with payer, legal and procedural policies. + Provides… more
- Highmark Health (Lansing, MI)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- Trinity Health (Livonia, MI)
- …operational efficiency while ensuring compliance with healthcare, coding, and billing regulations. Responsible for objectively auditing and monitoring enterprise ... information, with particular attention to coding and billing regulations; producing reports & suggesting improvements to processes. Assists management in training… more
- Corewell Health (Caledonia, MI)
- …Acts as a liaison between physician practices, rehab services, professional billing office, coding, payer relations, compliance and revenue management operations of ... Essential Functions + Meets with providers and coding employees regularly on billing , coding and reimbursement issues applicable to their specialty. + Reviews… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. The Multi-Specialty Coder will be responsible for reviewing clinical documentation and diagnostic ... and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing , review and correct billing edits, internal...CPT-4 codes for billing , review and correct billing edits, internal and external reporting, research, and regulatory… more
- Elevance Health (Dearborn, MI)
- …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
- Elevance Health (Dearborn, MI)
- …Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 ... environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
- Trinity Health (Livonia, MI)
- …related field, or an equivalent combination of education & clinical reviews/coding/ billing experience. Minimum of three years of experience including clinical ... programs & relevant knowledge in areas like revenue cycle, coding & billing , physician financial relationships, conflicts of interest and/or clinical research. Must… more
- Molina Healthcare (Grand Rapids, MI)
- …MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, medical ... (RN) license and Certified Coding Specialist (CCS), (CIC), Certified Professional Coder (CPC) License in good standing and certification current. Registered Health… more