• Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    …Assists with internal and external education on fraud, waste, abuse, billing and documentations requirements. Essential Functions + Responsible for investigating, ... - AHIMA American Health Information Management Association Upon Hire + CRT-Professional Coder - AAPC American Academy of Professional Coders Upon Hire +… more
    Corewell Health (08/08/25)
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  • Inpatient Coding Quality Analyst

    Corewell Health (Grand Rapids, 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
    Corewell Health (07/30/25)
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  • Cardiology Coding Associate III

    R1 RCM (Detroit, MI)
    The **Professional Services Coder ** will be responsible for reviewing clinical documentation and diagnostic results as appropriate (ie, to extract data 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
    R1 RCM (07/24/25)
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  • (Hybrid/Remote) Coding Compliance Specialist

    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
    Trinity Health (08/11/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (08/09/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical ... an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues.… more
    Molina Healthcare (08/08/25)
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  • Nurse Audit Manager

    Humana (Lansing, MI)
    …clinical and coding experience to conduct reviews of provider codes and billing . + Decisions are typically related to resources, approach, and tactical operations ... knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is complete and accurate. + Certified Professional … more
    Humana (08/13/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Lansing, MI)
    …we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... focus on meeting state, federal, and company requirements while identifying concerning billing patterns or trends. **Responsibilities:** + Lead and mentor a team of… more
    CVS Health (08/08/25)
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  • Budget and Financial Analyst

    University of Michigan (Ann Arbor, MI)
    …MARI Electronic Health Record, ClinicTracker (CT). Write and review the modifier and billing rules in CT. + Participate in strategic planning activities and manage ... system, with demonstrated financial analytical skills. + Behavioral health coding, billing , or auditing experience (CPT, ICD-10-CM, and modifier assignment). +… more
    University of Michigan (08/07/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Lansing, MI)
    **Job Description:** This position is responsible for billing , follow-up, and resolving issues that delay or prevent payment of the patient's account within ... hire. Plus one of the following certifications: Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or… more
    Intermountain Health (08/13/25)
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