• Coder II ER (Remote)

    Trinity Health (Livonia, MI)
    …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. Two (2) years of ... and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. Utilizes … more
    Trinity Health (08/01/25)
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  • Director, Risk Adjustment Prospective Operations…

    Corewell Health (Grand Rapids, MI)
    …- AAPC American Academy of Professional Coders 180 Days required Or + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management Association 180 ... set by the executive leaders of Risk Adjustment ensuring accurate diagnosis risk coding and achieving related revenue targets.The role is responsible for helping to… more
    Corewell Health (07/21/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge...ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.… more
    Elevance Health (08/09/25)
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  • Clinical Documentation Integrity (CDI) Coordinator…

    Trinity Health (Livonia, MI)
    …Assists with training and on-boarding of new CDS colleagues. Prepares standard education for clinicians. Works closely with Clinicians, Coding , Quality and ... the CDI quality plan, such as by Clinical Documentation Specialist (CDS), service line, focus area and as otherwise...completeness and accuracy of health record documentation. Develops CDS education based on results of quality reviews of queries,… more
    Trinity Health (07/30/25)
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  • Patient Services Intermediate/ Patient Account…

    University of Michigan (Ann Arbor, MI)
    …and HCPCS coding systems. + Collaborate with medical coder compliance specialist , providers and medical staff for clarification and to ensure completeness of ... the health of patients, populations and communities through excellence in education , patient care, community service, research and technology development, and… more
    University of Michigan (08/25/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Sterling Heights, MI)
    …lines of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + ... experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience + Proven experience owning operational projects from concept… more
    Molina Healthcare (08/20/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Grand Rapids, MI)
    …of business. + PMP, Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + ... Care Organization (MCO) or health plan setting, or equivalent combination of relevant education and experience. + At least 3 years of Experience with Medicaid and/or… more
    Molina Healthcare (08/14/25)
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  • Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    …Hire + CRT-Outpatient Coder, Certified (COC) - UNKNOWN Unknown Upon Hire + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management Association ... is taken if applicable. Assists with internal and external education on fraud, waste, abuse, billing and documentations requirements....Upon Hire + CRT- Coding Specialist , Certified-Physician Based (CCS-P) - AHIMA… more
    Corewell Health (08/08/25)
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  • Data Manager Sr / Inter

    University of Michigan (Ann Arbor, MI)
    …the health of patients, populations and communities through excellence in education , patient care, community service, research and technology development, and ... by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. **Why Join… more
    University of Michigan (08/09/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Ann Arbor, MI)
    …experienced appeal LVN, RN and administrative staff. **JOB QUALIFICATIONS** **Required Education ** Graduate from an Accredited School of Nursing. Bachelor's degree ... home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG,… more
    Molina Healthcare (08/15/25)
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