• Coder III Complex Outpatient…

    Trinity Health (Livonia, MI)
    …Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist ( CCS ) is required. Three (3) years of current ... of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and APC assignment. Must be proficient on identifying NCCI, LCD/NCD edits… more
    Trinity Health (08/01/25)
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  • Coder IV, Inpatient (Remote)

    Trinity Health (Livonia, MI)
    …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist ( CCS ) is required. Page 3 3. Three (3) ... knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. Must be proficient on identifying POA,… more
    Trinity Health (06/04/25)
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  • Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    …experience working with Healthcare claim auditing or equivalent combination of; auditing, medical coding , healthcare revenue cycle, or regulatory (ie, CMS & ... will support the organization's cost containment efforts specific to medical claims payment and drive payment integrity performance. This...Information Management Association Upon Hire or + CRT - Coding Specialist ( CCS ) - AHIMA American Health… more
    Corewell Health (07/18/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Lansing, MI)
    …of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and ... Coding Associate (CCA) + Certified Professional Coder (CPC) + Certified Coding Specialist ( CCS ) **To comply with HIPAA security standards (45 CFR sec. 164.308… more
    Evolent (07/18/25)
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  • Director, Risk Adjustment Prospective Operations…

    Corewell Health (Grand Rapids, MI)
    …- AAPC American Academy of Professional Coders 180 Days required Or + CRT- Coding Specialist ( CCS ) - AHIMA American Health Information Management Association 180 ... set by the executive leaders of Risk Adjustment ensuring accurate diagnosis risk coding and achieving related revenue targets.The role is responsible for helping to… more
    Corewell Health (07/21/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (08/09/25)
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  • Inpatient Audit Specialist

    Datavant (Lansing, MI)
    …Level 1 facility. **What You Need to Succeed:** + 5+ years of facility inpatient coding experience and/or auditing. + CCS (required), RHIA or RHIT preferred + ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (07/29/25)
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  • Coder - Inpatient

    Highmark Health (Lansing, MI)
    … courses in anatomy, physiology and medical terminology + Certified Coding Specialist ( CCS ) **OR** Certified In-patient Professional Coder (CIC) + ... Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret… more
    Highmark Health (08/02/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Ann Arbor, MI)
    …**Job Qualifications** **Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with ... data validation Required Li **Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS , CCS -P, or CPC… more
    Molina Healthcare (07/25/25)
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  • Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    …Hire + CRT-Outpatient Coder, Certified (COC) - UNKNOWN Unknown Upon Hire + CRT- Coding Specialist ( CCS ) - AHIMA American Health Information Management Association ... research, interviews, data analysis, and substantive desk or onsite medical record review. Responsible for preparing case file, final...Upon Hire + CRT- Coding Specialist, Certified-Physician Based ( CCS -P) - AHIMA… more
    Corewell Health (08/08/25)
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