- Deloitte (Detroit, MI)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk ... investigations, regulatory concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and… more
- University of Michigan (Ann Arbor, MI)
- Outpatient Authorization Specialist **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, the site will be ... that directly relate to this position. **Job Summary** The Authorization Specialist is responsible for facilitating and successfully procuring outpatient insurance… more
- Henry Ford Health System (Detroit, MI)
- …Campus, Centralized Pharmacy Services Center - Detroit Schedule: Full Time The Pharmacy Specialist is a pharmacist who, by virtue of knowledge gained through special ... expert in a major area of pharmacy practice. The Pharmacy Specialist assumes overall leadership responsibility in directing the pharmacy-related activities in… more
- Datavant (Lansing, MI)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT , and appropriate coding references for accurate DRG and APC assignment. +… more
- Henry Ford Health System (Grand Blanc, MI)
- …assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local, State and Federal coding ... guidelines and regulations, NCCI Edits, ICD-10CM, CPT , Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to accurately… more
- Datavant (Lansing, MI)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...State Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word,… more
- Guidehouse (Detroit, MI)
- …edits + Other claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10, ... CPT , HCPCS codes and associated coding modifiers. + Responsible...medical necessity of services provided and charged based on provider/ clinical documentation. + Knowledge, understanding and proper application of… more
- Henry Ford Health System (Detroit, MI)
- …and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex ... Specialist accurately abstracts information from the electronic health record...Proficient in medical terminology. + Proficient in ICD-10 CM, CPT and HCPCS coding. + Able to recognize patterns… more
- Henry Ford Health System (Jackson, MI)
- …purposes of their quality rewards program. o Maintains accurate record of specialist referral information, provider panel status by product line, and Network's ... including coding, billing, prior authorizations, upcoming webinars, operations, and provides CPT coding and billing education to Network members. * Performs ongoing… more
- Trinity Health (Livonia, MI)
- …of titles or advancement career progression)** Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating ... including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues… more