• Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (MI)
    …Marketplace lines of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist ( CCS ) certification. + Project ... payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD),… more
    Molina Healthcare (09/28/25)
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  • Regional Manager Denial Management - McLaren…

    McLaren Health Care (Grand Blanc, MI)
    …Management Certification (ACM), Certified Clinical Documentation Specialist (CCDS) or Certified Coding Specialist ( CCS ) _or_ obtain certification ... to assist front-end processes such as utilization management, clinical documentation improvement, coding , and billing etc. to reduce denials. 4. Assists in the… more
    McLaren Health Care (09/26/25)
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  • Medical Records Coder Senior

    Corewell Health (Sterling Heights, MI)
    …(RHIT) - AHIMA American Health Information Management Association + CRT- Coding Specialist , Certified -Physician Based ( CCS -P) - AHIMA American Health ... Information Management Association + CRT- Coding Specialist ( CCS ) - AHIMA American Health Information Management Association About Corewell Health As a team… more
    Corewell Health (09/03/25)
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  • Coding Data Quality Auditor

    CVS Health (Lansing, MI)
    …diagnosis coding , and/or auditing. + CPC ( Certified Professional Coder) or CCS -P ( Certified Coding Specialist -Physician) required. + CRC ( ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
    CVS Health (09/27/25)
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  • CBO Coding Specialist - Full Time…

    Henry Ford Health System (Detroit, MI)
    …coding and clinical teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic ... GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates...Information Technician (RHIT), RHIT Certification eligibility, or CPC, CPC-A, CCS , CCP or CCA certification required. Additional Information +… more
    Henry Ford Health System (09/30/25)
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  • Quality Senior Analyst

    CVS Health (MI)
    …to approximately 5 years for CPC. + CPC ( Certified Professional Coder) **or** CCS -P ( Certified Coding Specialist -Physician) and CRC ( Certified ... highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines… more
    CVS Health (09/30/25)
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  • Supervisor, Clinical Documentation Integrity (CDI)…

    Trinity Health (Livonia, MI)
    …Registered Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Coding Specialists ( CCS ) + Licensure as a ... within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional… more
    Trinity Health (08/26/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    … Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third ... Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified… more
    Elevance Health (09/23/25)
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