- 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
- Highmark Health (Lansing, MI)
- …hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Humana (Lansing, MI)
- …+ High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with ICD-10 CM guidelines + Prior ... education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related processes + Proficient in Microsoft Word, Excel,… more