- Trinity Health (Livonia, MI)
- …applications. Assists management in conducting annual and periodic risk assessments in support of the Trinity Health Integrity & Compliance Program (ICP). Risk ... AHIMA, AAPC, or equivalent certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information… more
- CVS Health (Lansing, MI)
- …and Federal regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + ... and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations of disease processes. + Adhere… more
- Molina Healthcare (Warren, MI)
- …and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers. **Job Duties** ... Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. + Provides training and support to clinical peers. + Identifies and refers members with special… more
- CenterWell (Lansing, MI)
- …the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their ... in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and...schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid… more
- CVS Health (Lansing, MI)
- …we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... mentor a team of CPCs, providing training, guidance, and support in coding practices and medical record reviews. +...absence of the director, ensuring continuity of operations and support . + Develop and implement training and onboarding programs… more
- Molina Healthcare (Sterling Heights, MI)
- …must be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates ... plan such as Utilization Review, Medical Claims Review, Long Term Service and Support , or other specific program experience as needed or equivalent experience (such… more
- Dynatrace (Detroit, MI)
- …Enterprise Solution Architect is a combination of an infrastructure, automation expert, coder , trusted advisor and cloud services authority who will be responsible ... to candidates that also have web applications, database, and support skills **Why you will love being a Dynatracer**...your journey to a new country, always there to support and by your side. + Attractive compensation packages… more
- McLaren Health Care (Shelby Township, MI)
- …of patient care and appropriately assign codes and/or determine charges to support those services. **Essential Functions and Responsibilities As Assigned** **:** 1. ... of educational opportunities of the coding specialist and provides educational support and training. 6. Gathers, transfers, and analyzes all auditing results… more
- Corewell Health (Grand Rapids, MI)
- …Classification (APC) assignment for all patient records. Provides direction and support to employees to ensure effectiveness and efficiency, especially in the ... Health Information Management Association Upon Hire required OR + Certified Professional Coder (CPC) - American Academy of Professional Coders (APPC) Preferred: +… more
- Humana (Lansing, MI)
- …+ High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with ICD-10 CM guidelines + Prior ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more