- McLaren Health Care (Mount Clemens, MI)
- …related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or Certified Clinical ... Provides support to both internal and external customers for denial/appeals activities and audits. Assists with monitoring and auditing activities, reviews outcomes and communicates findings as appropriate. Collaborates with ICM departments/staff, as well as… more
- McLaren Health Care (Grand Blanc, MI)
- …related field * ACMA or ACDIS memberships * Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or Certified Clinical ... Functional assignments include management of internal and external auditing, customer service, software management, and tracking responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC), Medicare Administrative… more
- Datavant (Lansing, MI)
- …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... and MA. + Expert knowledge of Risk Adjustment . + Research and problem resolution skills. + Exceptional interpersonal relationship skills. + Must possess strong managerial, financial, and analytical skills. + Consistent demonstration of commitment to quality,… more
- Molina Healthcare (MI)
- …multiple organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina employees: If you are ... interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $141,371 /… more
- Evolent (Lansing, MI)
- …of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment ... coding, with a focus on clinical documentation. + Technical proficiency, strong knowledge of coding languages within multiple EMRs with familiarity of coding standards and best practice. + Previous managerial experience or supervisory role with strong… more
- Elevance Health (Dearborn, MI)
- …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or ... CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems,… more
- Molina Healthcare (Grand Rapids, MI)
- …be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a… more
- Henry Ford Health System (Detroit, MI)
- …of accountability, continuous learning, and professional growth; ensure ongoing coder education tied to compliance and regulatory changes. Compliance, Quality ... Assurance & External Representation + Ensure coding practices comply with local, state, and federal guidelines and payer policies. + Lead quality improvement activities related to coding and documentation integrity; use results to drive actionable change. +… more
- Datavant (Lansing, MI)
- …cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in a professional, efficient ... and positive manner + Adhere to the American Health Information Management Association (AHIMA)'s code of ethics + Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment… more
- Datavant (Lansing, MI)
- …cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in a professional, efficient ... and positive manner + Adhere to the American Health Information Management Association (AHIMA)'s code of ethics + Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment… more