• Facility Coding Inpatient DRG Quality

    Banner Health (MI)
    …documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) ... or utilized operational systems . Provides explanatory and reference information to internal and...consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding… more
    Banner Health (09/06/25)
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  • Investigator

    Highmark Health (Lansing, MI)
    …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical… more
    Highmark Health (09/10/25)
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  • HIM - Inpatient Coding Supervisor (remote)

    Guidehouse (Detroit, MI)
    …and Outpatient tools) software for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a technical expert/resource for ... charts as well as well as data management and coder audit and education experience. + Must maintain credential...**:** + Experience working in any of the following systems : EPIC, Cerner, Next Gen, Allscripts or any other… more
    Guidehouse (08/19/25)
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  • Compliance Partner

    Corewell Health (Grand Rapids, MI)
    …leaders across the organization - particularly within revenue cycle - to guide system -wide initiatives, assess risk, and shape the future of compliance at every ... at Corewell Health. Job Summary Responsible for strategically advising on system -wide and client group specific initiatives and risks. Responsible for creating… more
    Corewell Health (10/01/25)
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  • Supervisor, Coding

    Baylor Scott & White Health (Lansing, MI)
    …families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: ... Classification of Disease (ICD-10CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Physicians Current Procedural Terminology (CPT) coding… more
    Baylor Scott & White Health (09/10/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (MI)
    …data and industry knowledge. Collaborates across departments to design and implement systems changes to meet encounter data processing and submission goals. + Writes ... business requirements for system updates to resolve errors and optimize encounter performance...organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina employees: If you… more
    Molina Healthcare (09/24/25)
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  • Manager Audit Denials Management - McLaren Careers

    McLaren Health Care (Grand Blanc, MI)
    …Revenue Cycle in meeting strategic objectives throughout the McLaren System .** **Essential Functions and Responsibilities** **:** 1. Provides leadership throughout ... the system regarding facility audits, managing external audits and account...field * ACMA or ACDIS memberships * Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or… more
    McLaren Health Care (09/26/25)
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  • Senior Provider Programs Specialist

    Corewell Health (Grand Rapids, MI)
    …planned giving + Clinical experience preferred working in a provider office or delivery system ; LPN, RN, BSN. + Certified Professional Coder CPC or Certified ... related activities and driving improvement for the integrated delivery system . . Essential Functions + Partners with internal teams...to the health of our organization. As a health system , we advocate for equity as we care for… more
    Corewell Health (08/14/25)
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  • Patient Services Intermediate/ Patient Account…

    University of Michigan (Ann Arbor, MI)
    …+ Accurately code procedures and diagnosing using ICD-10-CM, CPT, and HCPCS coding systems . + Collaborate with medical coder compliance specialist, providers and ... sciences, and healthcare to become one of the world's most distinguished academic health systems . In some way, great or small, every person here helps to advance… more
    University of Michigan (08/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (09/23/25)
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