• Principal Compliance Investigator | Full Time

    Henry Ford Health System (Detroit, MI)
    … Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist ... remedial measures/countermeasures. + Reviews and audits professional and facility coding and billing from all departments of...prepares reports of findings and meets with providers and medical office staff to provide education and training on… more
    Henry Ford Health System (07/29/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, ... care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical...Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in… more
    Molina Healthcare (08/08/25)
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  • Medical Coder Outpatient - McLaren Careers

    McLaren Health Care (Flint, MI)
    **Position Summary:** Responsible for reviewing outpatient medical records for proper coding assignment. **Position Specifications:** _ * Background in ... 1. Accurately assigns codes (CPT-4 and HCPCS) to outpatient medical records based on documentation in the medical...* Certified Professional Coder (CPC) **_Position/Subsidiary Specific:_** * Background in laboratory billing with a focus on… more
    McLaren Health Care (06/28/25)
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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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  • REMOTE Coder I - Ancillary, Routine Outpatient

    Trinity Health (Livonia, MI)
    …in Health Information Management (HIM) or related healthcare field is preferred. Certified Coding Associate (CCA), Certified Procedural Coder Apprentice ... Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. One (1) year… more
    Trinity Health (08/09/25)
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  • Coder II ER (Remote)

    Trinity Health (Livonia, MI)
    …degree in Health Information Management (HIM) or related healthcare field is preferred. Certified Coding Associate (CCA), Certified Procedural Coder (CPC), ... Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. Two (2) years… more
    Trinity Health (08/01/25)
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  • Coder III Complex Outpatient…

    Trinity Health (Livonia, MI)
    …Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. Three (3) years of ... and routes non- coding ones to appropriate owners eg, Revenue Integrity, Billing , etc. Adheres to Inpatient coding quality and productivity standards… more
    Trinity Health (08/01/25)
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  • Investigator, Special Investigative Unit…

    Molina Healthcare (Grand Rapids, MI)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to...programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health… more
    Molina Healthcare (07/24/25)
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  • Coder IV, Inpatient (Remote)

    Trinity Health (Livonia, MI)
    …Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. Page 3 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 & ... working with State and Federal regulations related to healthcare billing and coding + Experience with health...Information Management Association Upon Hire or + CRT - Coding Specialist, Certified - Physician Based (CCS-P)… more
    Corewell Health (07/18/25)
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