- Elevance Health (Dearborn, MI)
- …you will make 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 to substantiate conclusions. +… more
- Trinity Health (Livonia, MI)
- …**Additional Qualifications (nice to have)** + Licensure/Certification: RHIA, RHIT, CCS, CPC /COC or other coding credentials _and/or Licensed Vocational Nurse/ ... or GED + Minimum three (3) years of relevant coding and charge control work experience in a hospital...or a related field. + Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or… more
- Trinity Health (Livonia, MI)
- …all Medicare and Medicaid websites, other payer websites and newsletters regarding medical policies and changes impacting charging, compliance, coding and ... practice setting. + Strong understanding of appeals, denial management, medical necessity, and coding audits with ability...1500 forms). + Licensure / Certification: RHIA, RHIT, CCS, CPC /COC, or other coding credentials strongly preferred.… more
- Datavant (Lansing, MI)
- …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
- Datavant (Lansing, MI)
- …and manage denials throughout the entire revenue cycle, including registration, eligibility, coding , billing, and medical necessity. + Analyze denial trends and ... This role requires in-depth knowledge of healthcare revenue cycle processes, HIM coding practices, and proficiency in multiple electronic systems and software tools.… more
- Elevance Health (Dearborn, MI)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates… more
- Henry Ford Health System (Troy, MI)
- …with physician, nursing staff, leadership and other HFH personnel. + Knowledge of medical coding (facility and professional), related medical terminology, ... understanding of the hospital revenue cycle. CERTIFICATIONS/LICENSURES REQUIRED: + Coding Credential ( CPC , COC, CCA, CCS, RHIT)...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- Highmark Health (Lansing, MI)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
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