• Clinical Provider Auditor II

    Elevance Health (Dearborn, MI)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention… more
    Elevance Health (09/06/25)
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  • Director Procedural Coding & Anesthesia

    Henry Ford Health System (Detroit, MI)
    At Henry Ford Health, precision and integrity in coding are essential to delivering high-quality care and ensuring the financial strength of our system. As the ... Director of Procedural and Anesthesia Coding , you'll set the strategy and lead system-wide efforts to optimize coding accuracy, compliance, and reimbursement.… more
    Henry Ford Health System (09/19/25)
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  • Manager, Service Delivery

    R1 RCM (Detroit, MI)
    …Skills:** + At least 3+ years of Operational Hospital experience + Background in Coding , Billing , and/or Follow-Up preferred + Ability to develop and implement ... strategic plans to improve service delivery and align with business objectives. + Ability to analyze complex situations, identify problems, and make sound decisions to resolve issues efficiently. For this US-based position, the base pay range is $70,921.24 -… more
    R1 RCM (09/30/25)
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  • Senior Analyst, Medical Economics (Vbc) - Remote

    Molina Healthcare (MI)
    …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care ... concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. *… more
    Molina Healthcare (08/31/25)
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  • Manager, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Ann Arbor, MI)
    …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care ... concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. *… more
    Molina Healthcare (08/27/25)
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  • Coder III Complex Outpatient…

    Trinity Health (Livonia, MI)
    …and routes non- coding ones to appropriate owners eg, Revenue Integrity, Billing , etc. Adheres to Inpatient coding quality and productivity standards ... procedure codes and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes. Uses encoder software and coding … more
    Trinity Health (08/01/25)
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  • Subscription Billing Software Engineering…

    General Motors (Warren, MI)
    …Atlanta, or Mountain View three times per week.** As the Subscription Billing Software Engineering Manager, you will lead the implementation, operation, and ... continuous improvement of GM's enterprise billing systems, primarily leveraging Zuora and RevPro. You will...and/or RevPro. + Strong software engineering background with hands‑on coding experience. + Experience with cloud platforms (AWS, Azure,… more
    General Motors (08/29/25)
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  • *Transaction Flow Coding Specialist/Full…

    Henry Ford Health System (Troy, MI)
    …Ford Health System's (HFHS) transaction flow processes, including the use of coding knowledge to effectively design insurance recovery and patient pay workflows, ... of college education, preferred. + Two (2) years of coding experience. + Experience with denial management. + Experience...+ Experience with both technical (UB) and professional (1500) billing , preferred. + Experience with billing and… more
    Henry Ford Health System (07/10/25)
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  • Regional Manager Denial Management - McLaren…

    McLaren Health Care (Grand Blanc, MI)
    …to assist front-end processes such as utilization management, clinical documentation improvement, coding , and billing etc. to reduce denials. 4. Assists in ... Certification (ACM), Certified Clinical Documentation Specialist (CCDS) or Certified Coding Specialist (CCS) _or_ obtain certification when eligible as defined… more
    McLaren Health Care (09/26/25)
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  • Investigator

    Highmark Health (Lansing, MI)
    …Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical ... hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement… more
    Highmark Health (09/10/25)
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