- University of Michigan (Ann Arbor, MI)
- Outpatient Authorization Specialist Apply Now **Job Summary** The Authorization Specialist is responsible for facilitating and successfully procuring outpatient ... insurance authorizations. The Authorization Specialist will be accountable to one or more designated...insurance pre-authorization process within required timeframes. + Apply appropriate CPT codes for planned outpatient services and provide codes… more
- University of Michigan (Ann Arbor, MI)
- Pre-Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... directly relate to this position. **Job Summary** The Precertification staff perform clinical reviews on all scheduled short stay and inpatient admissions to the… 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
- Trinity Health (Livonia, MI)
- …health care related field, or an equivalent combination of education & clinical reviews/coding/billing experience. Minimum of three years of experience including ... clinical documentation & coding reviews. Must possess working knowledge...care corporate compliance programs. Must possess in-depth knowledge of CPT , HCPCS, ICD-10-CM & ICD-10-PCS coding & billing regulations… more
- Trinity Health (Ann Arbor, MI)
- …search feature to find the correct patient information and disseminates data to clinical systems for patient care. Identifies required forms or templates based on ... to facilitate daily patient activity and flow in support of the clinical departments. Analyze completeness and accuracy of records on these reports proactively… 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 ... related issue and activities to external departments (Cost Containment, Networks, Clinical ) for handling. + PACKAGING OF FINDINGS AND RECOMMENDATIONS: + Organize… more
- Trinity Health (Howell, MI)
- …search feature to find the correct patient information and disseminates data to clinical systems for patient care. Identifies required forms or templates based on ... to facilitate daily patient activity and flow in support of the clinical departments. Analyze completeness and accuracy of records on these reports proactively… more
- LifePoint Health (Marquette, MI)
- …senior management, as delegated by the director. Works closely with clinical staff, physicians, other department stakeholders, patient accounting and scheduling ... of information that supports the billing process, including medical documentation, CPT , HCPCS, ICD, MSDRG and other applicable documentation required for compliant… more
- Henry Ford Health System (Detroit, MI)
- …validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Certified ... 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)
- …validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Certified ... 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