• Principal Compliance Investigator | Full Time

    Henry Ford Health System (Detroit, MI)
    …or American Academy of Professional Coders (AAPC) recognized certifications such as Certified Professional Coder (CPC), Certified Professional Coder ... + Reviews and audits professional and facility coding and billing from all departments of HFH. + Conducts high-volume...(CPC-H), Certified Professional Coder -Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist… more
    Henry Ford Health System (07/29/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
    Highmark Health (08/08/25)
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  • Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    … - AAPC American Academy of Professional Coders Upon Hire or + CRT - Professional Coder , Certified - Payer (CPC-P) Upon Hire or + CRT - Professional Coder ... 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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  • Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    Coder - AAPC American Academy of Professional Coders Upon Hire + CRT-Professional Coder , Certified - Payer (CPC-P) - UNKNOWN Unknown Upon Hire + ... with internal and external education on fraud, waste, abuse, billing and documentations requirements. Essential Functions + Responsible for...CRT-Outpatient Coder , Certified (COC) - UNKNOWN Unknown Upon… more
    Corewell Health (08/08/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, ... necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical… more
    Molina Healthcare (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
    Elevance Health (08/09/25)
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  • (Hybrid/Remote) Coding Compliance Specialist

    Trinity Health (Livonia, MI)
    billing regulations required. AHIMA, AAPC, or equivalent certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist ... related field, or an equivalent combination of education & clinical reviews/coding/ billing experience. Minimum of three years of experience including clinical… more
    Trinity Health (08/11/25)
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  • Budget and Financial Analyst

    University of Michigan (Ann Arbor, MI)
    …or Administrator (RHIT/RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). **Work Schedule** Punctual, regular, and consistent ... MARI Electronic Health Record, ClinicTracker (CT). Write and review the modifier and billing rules in CT. + Participate in strategic planning activities and manage… more
    University of Michigan (08/07/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Lansing, MI)
    …more compassionate. And we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within ... focus on meeting state, federal, and company requirements while identifying concerning billing patterns or trends. **Responsibilities:** + Lead and mentor a team of… more
    CVS Health (08/08/25)
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  • Senior Coding Educator

    Humana (Lansing, MI)
    …Qualifications** + High school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder ) certification + 2 years or more experience with ... education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related processes + Proficient in Microsoft Word, Excel,… more
    Humana (08/08/25)
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