• Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    …experience working with Healthcare claim auditing or equivalent combination of; auditing, medical coding , healthcare revenue cycle, or regulatory (ie, CMS & ... These efforts will support the organization's cost containment efforts specific to medical claims payment and drive payment integrity performance. This position is… more
    Corewell Health (07/18/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Lansing, MI)
    …of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and ... + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder ( CPC... Coding Associate (CCA) + Certified Professional Coder ( CPC ) + Certified Coding Specialist (CCS) **To… more
    Evolent (07/18/25)
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  • Diagnosis Related Group Clinical Validation…

    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
    Elevance Health (08/09/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    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 (08/01/25)
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  • HCC Risk Adjustment Auditor - Full Time - Remote

    Datavant (Lansing, MI)
    …Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate ... by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked...certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC) +… more
    Datavant (08/01/25)
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  • *Revenue Integrity Auditor/Full Time/Hybrid

    Henry Ford Health System (Troy, MI)
    …preferred. Hospital billing and healthcare finance background preferred. + Knowledge of medical coding (facility and professional), related medical ... Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding , charge entry, and healthcare revenue cycle… more
    Henry Ford Health System (07/22/25)
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  • *CDM Analyst Revenue Integrity/ Full Time/Hybird

    Henry Ford Health System (Troy, MI)
    …EDUCATION AND EXPERIENCE: + Associates Degree Required, + Bachelors Degree Preferred. + Coding certification ( CPC , COC, CCA, CCS, RHIT) Preferred. + Charge ... and fee schedule maintenance 6. Supports timely implementation of coding updates (CPT/HCPCS), periodic UB Revenue Code updates, modifier...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
    Henry Ford Health System (06/20/25)
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  • Clinical Provider Auditor II

    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
    Elevance Health (08/08/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Ann Arbor, MI)
    …**Job Qualifications** **Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with ... validation Required Li **Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS, CCS-P, or CPC credential… more
    Molina Healthcare (07/25/25)
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  • *Revenue Integrity Specialist/Full Time/Hybrid

    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
    Henry Ford Health System (07/24/25)
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