• Special Investigation Unit (SIU) Coding

    CVS Health (Lansing, MI)
    …comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in ... heart, each and every day. The Certified Professional Coder ( CPC ) Manager will oversee a team of...minimum of 2 years of managing a staff. + Coding Certification ( CPC , CPMA, COC). + A… more
    CVS Health (08/08/25)
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  • Coding Specialist - Jackson at Home…

    Henry Ford Health System (Jackson, MI)
    …analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The ... available to resolve accounts. + Maintains expert knowledge of coding , billing , and compliance within the revenue...+ Ability to communicate effectively with colleagues, supervisor, and manager . + Ability to work independently. + Ability to… more
    Henry Ford Health System (07/04/25)
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  • * Coding Specialist - Full Time…

    Henry Ford Health System (Detroit, MI)
    …analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The ... + High school diploma or GED equivalent required. + Billing or coding experience preferred. + Some...+ Ability to communicate effectively with colleagues, supervisor, and manager . + Ability to work independently. Ability to work… more
    Henry Ford Health System (08/07/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS… more
    Highmark Health (08/08/25)
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  • Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    …of relevant experience working with State and Federal regulations related to healthcare billing and coding + Experience with health care claims Preferred: + ... Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven...efforts, ensuring interdependencies across Network Contracting, Utilization Management, and Billing Policy are effectively managed to support the organization's… more
    Corewell Health (07/18/25)
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  • Principal Compliance Investigator | Full Time

    Henry Ford Health System (Detroit, MI)
    …and aligning remedial measures/countermeasures. + Reviews and audits professional and facility coding and billing from all departments of HFH. + Conducts ... Federal and State guidelines. + Reports on the accuracy of CPT, E&M, ICD-10-CM/PCS coding , and billing to ensure compliance with payer, legal and procedural… more
    Henry Ford Health System (07/29/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (08/09/25)
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  • *Revenue Integrity Auditor/Full Time/Hybrid

    Henry Ford Health System (Troy, MI)
    …(RI) Auditor provides support for timely, accurate and inclusive charge capture, coding , billing functions and revenue routing, through evaluation and ... that the accounts audited reflect proper documentation, charge capture, coding , and billing to support proper payment....skills. CERTIFICATIONS/LICENSURES REQUIRED: + RHIA, RHIT, CCS, COC, or CPC , or other coding certification required or… more
    Henry Ford Health System (07/22/25)
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  • *CDM Analyst Revenue Integrity/ Full Time/Hybird

    Henry Ford Health System (Troy, MI)
    …Clinical Staff, Information Services, HIMS and PFS to facilitate expeditious resolution of coding and billing issues related to the functionality of the CDM ... Reporting to the CDM Manager , the CDM Analyst is responsible for supporting...+ Associates Degree Required, + Bachelors Degree Preferred. + Coding certification ( CPC , COC, CCA, CCS, RHIT)… more
    Henry Ford Health System (06/20/25)
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  • Manager , Special Investigation

    CVS Health (Lansing, MI)
    …New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies and ... procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 - $159,120.00 This pay… more
    CVS Health (08/01/25)
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