- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Coding Auditor ** , you will help ensure accurate medical ... others. **Here's what you will experience working as a** ** Coding Auditor :** + Conduct audits of work...High school diploma, GED, or equivalent + RHIT, RHIA, CCS , or CPC ; CPMA preferred + In… more
- Highmark Health (Lansing, MI)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist ( CCS ) + AAPC Credentials (Outpatient): Certified ... Professional Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
- CVS Health (Lansing, MI)
- … CPC . + CPC (Certified Professional Coder) or CCS -P (Certified Coding Specialist-Physician) required. **Preferred Qualifications** + Computer proficiency ... internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...+ Completion of AAPC/AHIMA training program for core credential ( CPC , CCS -P) with associated work history/on the… more
- Datavant (Lansing, MI)
- …experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or ... to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- McLaren Health Care (Shelby Township, MI)
- …Certified in at least one of the following: + AHIMA Certification (such as: RHIA, RHIT, CCS ) + AAPS Certification (such as: CPC , CCS -P, CCC, COC, CIC, CHONC, ... Assigned** **:** 1. Responsible for completing quality assurance audits on professional coding specialists, onboarding audits and training of newly hired coding … more
- Henry Ford Health System (Troy, MI)
- …communications skills and be able to work independently. Certifications/Licensures Preferred: . Coding Credentials: (eg, CPC , CCS -P, CPC -H, ... General Summary: The auditor is responsible for analyzing and auditing inpatient...and auditing inpatient and professional claims to identify inappropriate coding and billing practices/patterns, including those related to unbundling,… more
- Henry Ford Health System (Troy, MI)
- …problem-solving skills. CERTIFICATIONS/LICENSURES REQUIRED: + RHIA, RHIT, CCS , COC, or CPC , or other coding certification required or must be obtained within ... GENERAL SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding… more
- Elevance Health (Dearborn, MI)
- …Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. + Experience with third ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Datavant (Lansing, MI)
- …+ High school diploma or GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC) ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- Elevance Health (Dearborn, MI)
- …of education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). For candidates working in ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more