- University of Michigan (Ann Arbor, MI)
- …Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit ... They are knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain… more
- Corewell Health (Watervliet, MI)
- …for communication with appropriate health insurance companies regarding authorizations and denials . Executes standard work regarding Medicaid appeals / denials ... for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all Inpatient… more
- Trinity Health (Livonia, MI)
- …and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, ... of the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR...code and MS-DRG, APR DRG assignments to potentially decrease denials . 5. Works Inpatient claim edits and may code… more
- Trinity Health (Livonia, MI)
- …Business Services (PBS) teams, when needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health ... and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology /… more
- Trinity Health (Livonia, MI)
- …Business Services (PBS) teams, when needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health ... and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology /… more