• Manager , DRG Coding & Validation…

    Molina Healthcare (Grand Rapids, MI)
    **Job Description** **Job Summary** The Manager , Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or ... Association** Active and unrestricted Registered Nurse (RN) license and Certified Coding Specialist (CCS), (CIC), Certified Professional Coder ( CPC ) License… more
    Molina Healthcare (06/14/25)
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  • Coding Specialist/Full Time/Michigan…

    Henry Ford Health System (Troy, 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… more
    Henry Ford Health System (06/20/25)
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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 (05/09/25)
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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 (06/10/25)
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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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  • Supervisor-Pricing Services/Full Time/ Hybrid

    Henry Ford Health System (Troy, MI)
    …or equivalent combination of at least five (5) years financial and medical billing / coding experience, including one year lead role or supervisory experience can ... The Supervisor-Pricing Services works closely with the CBO Self-Pay Manager and the Pricing Services team. The position is...(2) degrees shown above, three (3) years financial, medical billing or coding experience with one year… more
    Henry Ford Health System (06/20/25)
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  • Revenue Integrity Principal Specialist/Full…

    Henry Ford Health System (Troy, MI)
    …management skills. + Strong diplomacy and collaboration skills. CERTIFICATIONS/LICENSURES REQUIRED: + Coding Credential ( CPC , COC, CCA, CCS, RHIT) or Clinical ... GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Principal Specialist...cycle, finance, clinical areas or related experience. + Hospital billing and healthcare finance background, preferred. Ability to work… more
    Henry Ford Health System (06/17/25)
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  • 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 ... of education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates working in person or… more
    Elevance Health (06/18/25)
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