• Certified Risk Adjustment Coding

    Trinity Health (Livonia, MI)
    **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan ... be 8 to 430 or 7 to 330 Eastern. Training will take place in person in Livonia, MI...one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC… more
    Trinity Health (11/06/25)
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  • ProFee Audit Specialist FT- 2,500…

    Datavant (Lansing, MI)
    …life experiences to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational ... appropriate manager. + Prepare the final reports for the coding audit and actively participates in the...Equipment: monitor, laptop, mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding more
    Datavant (11/05/25)
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  • Inpatient Audit Specialist FT- 2,500…

    Datavant (Lansing, MI)
    …If Applicable + Equipment: monitor, laptop, mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional ... to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related… more
    Datavant (10/21/25)
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  • Degree Audit Specialist

    Wayne State University (Detroit, MI)
    Degree Audit Specialist Wayne State University is searching for an experiencedDegree Audit Specialistat its Detroit campus location. Wayne State is a ... Serves as the subject matter expert for the degree audit system, conducting training across the university...and college degree and curricular requirements with Degree Works coding a plus INTERPERSONAL SKILLS: Ability to work independently,… more
    Wayne State University (10/02/25)
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  • ProFee Audit Specialist PRN- 1,000…

    Datavant (Lansing, MI)
    …If Applicable + Equipment: monitor, laptop, mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional ... vision for healthcare. **What We're Looking For:** As a Profee Auditing Specialist , you will be instrumental in addressing consulting and educational needs related… more
    Datavant (11/12/25)
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  • Appeals Audit Specialist - McLaren…

    McLaren Health Care (Mount Pleasant, MI)
    …ACDIS memberships + Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist ... accuracy/proficiency in referencing support from the medical recorddocumentation and coding guidelineswith timely and successful submissions. 5. Assists in… more
    McLaren Health Care (11/11/25)
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  • Pharmacy Specialist - Revenue Cycle…

    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 ... training and/or substantial experience, has become the institutional expert...in a major area of pharmacy practice. The Pharmacy Specialist assumes overall leadership responsibility in directing the pharmacy-related… more
    Henry Ford Health System (10/21/25)
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  • Network Payor Relations & Compliance…

    Henry Ford Health System (Jackson, MI)
    …source verifications and enrollment processes. * Responsible for completing various audit activities to ensure contractual compliance and satisfying NCQA standards. ... Audit activities include annual audits which are initiated by...their quality rewards program. o Maintains accurate record of specialist referral information, provider panel status by product line,… more
    Henry Ford Health System (11/04/25)
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  • Compliance Analyst

    Corewell Health (Grand Rapids, MI)
    …AHIMA American Health Information Management Association upon hire required Or + CRT- Coding Specialist , Certified-Physician Based (CCS-P) - AHIMA American Health ... Information Management Association upon hire required Or + CRT- Coding Specialist (CCS) - AHIMA American Health...and implementation + ICD-9 or ICD-10 and CPT 4 coding or medical record audit and review… more
    Corewell Health (11/14/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Detroit, MI)
    …proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review… more
    Molina Healthcare (09/06/25)
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