- Cognizant (Lansing, MI)
- …1 year claims processing is required. * Knowledge of physician practice and hospital coding , billing and medical terminology, CPT, HCPCS, ICD-9 * Experience with ... UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare billing & payment and coverage guidelines and regulations. * Experience in… more
- Cognizant (Lansing, MI)
- …claims processing experience is required. + Knowledge of physician practice and hospital coding , billing and medical terminology, CPT, HCPCA, ICD-9 + Experience ... UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare billing & payment and coverage guidelines and regulations. + Must be able… more
- Corewell Health (Grand Rapids, MI)
- …all revenue cycle departments including scheduling, registration, authorizations, referrals, coding , billing , clinical documentation, revenue management, HIM, ... strong bill editing functionality, and flexible workflow management to complement billing processes to improve collection rates and reduce accounts receivables.… more
- 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
- R1 RCM (Detroit, MI)
- …and patient billing concerns. * Meet and/or exceeds the established coding productivity standards * Meet and/or exceeds the established quality standard of 95% ... and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing , review and correct billing edits, internal...research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able… more
- Jackson County Medical Care Facility (Jackson, MI)
- …2023, 2024, and US News & World Report for 2025. As a full-time Coding and Medical Records Specialist, you would be responsible to assist the RN-MDS Coordinator ... with the coding , documentation and data management, and knowledge and understanding...documentation and data management, and knowledge and understanding of billing and reimbursement processes for residents at Jackson Country… more
- CVS Health (Lansing, MI)
- …within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, ... CPC Manager will be responsible for guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role… more
- Molina Healthcare (Grand Rapids, 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
- 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
- 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