- Henry Ford Health System (Grand Blanc, MI)
- …prospective and retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor, in conjunction with...documentation and coding expertise to facilitate audits of the quality and completeness of medical record documentation for outpatient… more
- Hospice of Michigan (Kalamazoo, MI)
- … practice monitoring in support of the mission of NorthStar Care Community. The Clinical Quality Nurse Specialist is responsible, through monitoring and ... supporting clinical staff, for ensuring quality and compliance with practice standards and regulatory requirements,...Provides immediate performance feedback to the clinician following a clinical visit. Communicating results of the audit .… more
- Sedgwick (Detroit, MI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical ... to discuss employee's clinical status, progress and work status. + Achieves appropriate quality audit scores on a consistent basis. + Acts as clinical … more
- Hospice of Michigan (Traverse City, MI)
- Job Summary: The Business Operations Specialist supports hospice clinical operations by ensuring timely, accurate, and compliant administrative and documentation ... maintain high- quality standards of care and regulatory compliance. The specialist manages essential workflows within the electronic health record (EHR), performs… more
- University of Michigan (Ann Arbor, MI)
- Staff Specialist Healthcare - System Immunization Coordinator Apply Now **Job Summary** The System Immunization Coordinator serves as an immunization subject matter ... immunization goals based on data collection and programmatic assessments + identify quality improvement opportunities and work to improve immunization rates + review… more
- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse… more
- Elevance Health (Dearborn, MI)
- …and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as ... state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years… more
- Trinity Health (Livonia, MI)
- … reviews as outlined in the CDI quality plan, such as by Clinical Documentation Specialist (CDS), service line, focus area and as otherwise necessary to ... At the direction of the Regional Manager and Supervisor, Clinical Documentation Integrity (CDI), this position is responsible for...record documentation. Develops CDS education based on results of quality reviews of queries, audit results, and… more
- Molina Healthcare (Ann Arbor, MI)
- …+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases… more
- Henry Ford Health System (Detroit, MI)
- … audit work papers, and audit reports of other auditors based on audit results and ensures accuracy and quality of audit reporting. + Provide ... GENERAL SUMMARY: Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess… more