• Revenue Integrity Principal Specialist/Full…

    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, ... + Strong diplomacy and collaboration skills. 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 (07/09/25)
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  • Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    …may include research, interviews, data analysis, and substantive desk or onsite medical record review. Responsible for preparing case file, final report and ensuring ... data to detect fraudulent or abusive practices by utilizing system tools, interviews, medical records audits, data mining, perform compliance audits of medical more
    Corewell Health (08/08/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Lansing, MI)
    …of three years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of ... in researching information and identifying relevant resources. + Knowledge of CPT/HCPCS/ICD coding . **Education** + A Bachelors degree or three years of experience… more
    CVS Health (08/08/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Lansing, MI)
    …phone call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and ... Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning… more
    CVS Health (08/01/25)
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  • Manager, Special Investigation

    CVS Health (Lansing, MI)
    …Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (08/01/25)
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