• SIU Specialist - Pharmacy Tech - Remote…

    Prime Therapeutics (Lansing, MI)
    …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more
    Prime Therapeutics (06/24/25)
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  • Claims Specialist Sr - Commercial Coverage…

    Sedgwick (Lansing, MI)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** **:** To ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
    Sedgwick (07/10/25)
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  • Patient Access Specialist - Afternoon Shift

    Trinity Health (Ann Arbor, MI)
    …and escalates to Patient Access Lead for resolution. Assists in the training and education of colleagues upon hire and ongoing as new systems and processes are ... in appropriately private places. Performs other duties as assigned. REQUIRED EDUCATION , EXPERIENCE AND CERTIFICATION/LICENSURE Education : High school diploma or… more
    Trinity Health (06/18/25)
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  • Clinical Documentation Improvement (CDI)…

    LifePoint Health (Hancock, MI)
    …Information Management/ Coding * **Organization:** ** **Title:** *Clinical Documentation Improvement (CDI) Specialist * **Location:** *Michigan-Hancock* ... is now available for a Clinical Documentation Information (CDI) Specialist at UP Health System - Portage. As a...provide guidance and support, as well as assist with education and training related to improving clinical documentation. Required… more
    LifePoint Health (07/01/25)
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  • Patient Access Specialist 1

    Trinity Health (Howell, MI)
    …and escalates to Patient Access Lead for resolution. Assists in the training and education of colleagues upon hire and ongoing as new systems and processes are ... appropriately private places. _Performs other duties as assigned._ **REQUIRED EDUCATION , EXPERIENCE AND CERTIFICATION/LICENSURE** ** Education :** High school… more
    Trinity Health (07/31/25)
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  • Medication Therapy Management (MTM)…

    Prime Therapeutics (Lansing, MI)
    …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior ... Demonstrates, advocates and reinforces a positive team environment. + Other duties as assigned. ** Education & Experience** + Education Level + GED + High School… more
    Prime Therapeutics (06/25/25)
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  • IT Solutions Design Specialist (US)

    TD Bank (Southfield, MI)
    …of Business:** Technology Solutions **Job Description:** The IT Solutions Design Specialist leads the creation of a comprehensive end-to-end detailed solution with ... complex or enterprise projects. May also be accountable for complex programming / coding . **Depth & Scope:** + Provides technical expertise and guidance to others in… more
    TD Bank (07/25/25)
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  • *Clinical Documentation Specialist /Full…

    Henry Ford Health System (Grand Blanc, MI)
    …documentation program and serves as resource to the physicians and clinical coding staff. Identifies factors influencing the complexity of the patient's diagnosis ... to enhance clinical data integrity. Reports to the Supervisor, Clinical Documentation. EDUCATION and EXPERIENCE: + Registered Nurse (RN), BSN preferred with current… more
    Henry Ford Health System (07/18/25)
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  • *Pricing Services Specialist -Full Time-…

    Henry Ford Health System (Troy, MI)
    …to the highest degree of service excellence standards to all customer groups. EDUCATION /EXPERIENCE REQUIRED: + Current Coding Certification from AHIMA or AAPC ... required. + 3-5 years of Medical Coding experience required. + Experience with Medical Billing and Reimbursement preferred. + Experience in a healthcare setting in a… more
    Henry Ford Health System (07/11/25)
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  • Specialist , Configuration Oversight

    Molina Healthcare (Warren, MI)
    …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing errors ... management for improvements based on audit results. **Job Qualifications** **REQUIRED EDUCATION :** Associate's Degree or equivalent combination of education and… more
    Molina Healthcare (07/18/25)
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