- CVS Health (Lansing, MI)
- …each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a ... a passion for continuous improvement. This position will sit within our Coding Quality Operations team and offers the flexibility of working from home. **Position… more
- University of Michigan (Ann Arbor, MI)
- …**Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal ... manage, to the appropriate department to ensure first time quality . **Perks and Benefits to Look Forward to:** +...together enhance our contribution to society. **Responsibilities + The Audit and Appeals Specialist works in Revenue… more
- Highmark Health (Lansing, MI)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from… more
- Area Agency On Aging 1-b (Southfield, MI)
- …and program standards, compliance through consistent audit outcomes conducted by Quality Specialist , Clinical Manager, and other metrics identified by ... established electronic medical record. Participate in peer reviews and quality activities. + Complete case transfers to another Supports...transfers to another Supports Coordinator as assigned by the Clinical Manager, following an audit of the… more
- Corewell Health (Grand Rapids, MI)
- …ensuring the appropriate metrics are established to ensure productivity and quality outcomes while conducting internal audits for both vendors and providers. ... to meet program goals including but not limited to provider incentive programs, audit and compliance processes and well as EMR optimization and other technology… more
- Trinity Health (Livonia, MI)
- …and DRG or APC assignment. Develops coder education based on results of coding quality reviews, audit results, and regulatory changes. Provides a high-level of ... position is responsible for implementation and ongoing activities of the coding quality and compliance plan for the assigned Regional Health Ministries (RHMs).… more