- Trinity Health (Livonia, MI)
- …experiences in clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical ... services provided & clinical documentation exists to support appropriate coding & billing . + Stays current with organizational alternate payment models & contracting… more
- Henry Ford Health System (Jackson, MI)
- …applications including EPIC, Morrisey, and/or MDStaff preferred. CERTIFICATIONS/LICENSURES REQUIRED: . Certified Professional Coder (CPC) preferred. . Must meet ... capturing updates from Network contracted health plans including coding, billing , prior authorizations, upcoming webinars, operations, and provides CPT coding… more
- Trinity Health (Livonia, MI)
- …integrated health care delivery system, revenue cycle or consulting experience. + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation ... & acts as a technical resource related to documentation, coding & billing regulations for assigned service area. **Minimum Qualifications** + Associate's degree in… more
- Elevance Health (Dearborn, MI)
- …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse… more
- Highmark Health (Lansing, MI)
- …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... member satisfaction. Will be expected to identify potential discrepancies in provider billing practices and intervene for resolution and education or if necessary… more