- Henry Ford Health System (Detroit, MI)
- …cycle operations and day-to-day functionality. + Knowledge of CPT and diagnosis coding and Third-Party billing regulations preferred. + Experience with general ... across a multifacility integrated healthcare delivery system, which includes all billing associated with Henry Ford Health (HFH), outpatient clinics and employed… 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% ... intelligent automation, and workflow orchestration. Our **Multispecialty QA Education Coding Associate** will be responsible for reviewing clinical documentation and… more
- Molina Healthcare (Warren, MI)
- …standard principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
- University of Michigan (Ann Arbor, MI)
- Medical Coder Inpatient Apply Now **Job Summary** Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ... all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical ... record for reimbursement/ billing purposes. Accurately abstracts information from the medical record...and administrative decision making related to patient care. The coding function is considered a primary source for data… more
- Trinity Health (Livonia, MI)
- …records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR DRGs, POA, SOI ... ROM indicators Reviews Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support… more
- Trinity Health (Livonia, MI)
- …APR DRG, POA, SOI & ROM assignments. Assigns appropriate code(s) by utilizing coding guidelines established by: * The Centers for Disease Control (CDC), ICD-CM ... Official Coding Guidelines for Coding and Reporting, Centers...Business Services (PBS) teams, when needed, to help resolve billing , claims, denial and appeals issues affecting reimbursement. Maintains… more
- Trinity Health (Livonia, MI)
- …and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. Utilizes ... coding guidelines established by: + The Centers for Medicare/Medicaid...Business Services (PBS) teams, when needed, to help resolve billing , claims, denials and appeals issues affecting reimbursement. Exhibits… more
- Molina Healthcare (Sterling Heights, MI)
- …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... errors of claims. ( _Use for claims specific positions only_ ) * Prepares, tracks and provides audit findings reports according to designated timelines * Presents audit findings and makes recommendations to management for improvements based on audit results.… more
- CVS Health (Lansing, MI)
- …(CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation ... The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical...and company requirements are met and recognize any concerning billing patterns or trends. Activities include: - Conduct a… more
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