• 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)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… 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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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    … and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified ... previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies… more
    Molina Healthcare (08/08/25)
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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 + ... research, interviews, data analysis, and substantive desk or onsite medical record review. Responsible for preparing case file, final...CRT-Outpatient Coder , Certified (COC) - UNKNOWN Unknown Upon… more
    Corewell Health (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 ... experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing more
    Elevance Health (08/09/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Lansing, MI)
    …and 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 ... ensure compliance with coding practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager… 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 ... Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing ,...in Medicare Advantage or Value-Based Care + AAPC CRC ( Certified Risk Adjustment) Certification + AAPC CDEO ( Certified more
    Humana (08/08/25)
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