- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and are honored to be a part of this incredible work. What Will you Do? As a Coding Auditor at Pine Rest, you'll be part of tight-knit team that believes in the ... be responsible for overseeing the daily operations of the coding team. The Coding Auditor ...coding regulations and best practices. + Collaborate with coding , billing , and compliance teams to develop… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... and billing for services rendered is complete, compliant and accurate...compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require… 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 ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
- Corewell Health (Grand Rapids, MI)
- …of services billed, including medical necessity, and compliance with other documentation, coding and billing standards. + Creates clear and accurate audit ... abilities typically gained through related experience; health care operations, coding , billing , auditing and/or compliance experience + CRT-Professional… more
- Trinity Health (Livonia, MI)
- …in a hospital and/or Physician Practice environment and experience in revenue cycle, billing , coding and/or patient financial services. + Experience working with ... clinical coding guidelines, charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare… more
- Trinity Health (Livonia, MI)
- …in a hospital and/or Physician Practice environment and experience in revenue cycle, billing , coding and/or patient financial services. + Experience working with ... clinical coding guidelines, charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare… 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 ... including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more