• Quality Reviewer (Aetna SIU)

    CVS Health (Lansing, MI)
    …and present referrals, both internal and external, within the required timeframe. + Support the recovery of company funds lost due to fraud by providing insights ... and local law enforcement agencies to ensure compliance and support the prosecution of healthcare fraud and abuse matters....review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of Behavioral… more
    CVS Health (08/08/25)
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  • Medical Coder Compliance Spec

    University of Michigan (Ann Arbor, MI)
    …in working with Revenue Cycle staff, clinicians, and other UHMS staff. Model, support and reinforce a culture of service excellence SKILLSET + Extensive CPT/ ... + Registered Health Information Technologist or Administrator (RHIT/RHIA) or, CCS, or CPC . + Three years' experience coding or auditing CPT, ICD-10-CM, and modifier… more
    University of Michigan (08/07/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Lansing, MI)
    …data shifts, and translate insights into actionable strategies. + Provide analytical support and generate reports for client implementations, ad hoc projects, and ... coding maintenance updates. + Apply expertise in healthcare coding to support prior authorization and financial scope reconciliations, ensuring accuracy and… more
    Evolent (07/18/25)
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  • Coding Auditor Professional - Remote - McLaren…

    McLaren Health Care (Shelby Township, MI)
    …of patient care and appropriately assign codes and/or determine charges to support those services. **Essential Functions and Responsibilities As Assigned** **:** 1. ... educational opportunities of the coding specialist and provides educational support and training. 6. Gathers, transfers, and analyzes all...as: RHIA, RHIT, CCS) + AAPS Certification (such as: CPC , CCS-P, CCC, COC, CIC, CHONC, etc.) o AMAC… more
    McLaren Health Care (06/04/25)
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  • Investigator Senior

    Elevance Health (Dearborn, MI)
    …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... **Preferred Qualifications, Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation preferred. +… more
    Elevance Health (08/12/25)
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  • Facility Coder Outpatient Complex

    Banner Health (MI)
    …Banner Financial goals. You will be fully supported in training, including continued support throughout your career here! **This is a fully remote position and ... (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder ( CPC ) or Registered Health Information Technologist (RHIT) or Registered Health Information… more
    Banner Health (08/10/25)
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  • Coding Operations Supervisor

    Corewell Health (Grand Rapids, MI)
    …Classification (APC) assignment for all patient records. Provides direction and support to employees to ensure effectiveness and efficiency, especially in the ... Management Association Upon Hire required OR + Certified Professional Coder ( CPC ) - American Academy of Professional Coders (APPC) Preferred: + Bachelor's… more
    Corewell Health (08/08/25)
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  • Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    …compliance hotline, internal referral or identify through data analytics. Support information requests my government agencies, law enforcement, external auditors, ... Academy of Professional Coders Upon Hire + CRT-Professional Coder, Certified - Payer ( CPC -P) - UNKNOWN Unknown Upon Hire + CRT-Outpatient Coder, Certified (COC) -… more
    Corewell Health (08/08/25)
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  • Senior Coding Educator

    Humana (Lansing, MI)
    …**Required Qualifications** + High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder) certification + 2 years or more experience with ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
    Humana (08/08/25)
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  • Medical Coder Outpatient

    University of Michigan (Ann Arbor, MI)
    …needs. **Required Qualifications + Certification as a Certified Professional Coder ( CPC ), or Certified Coding Specialist (CCS), or Certified Outpatient Coder (COC), ... Exec Vp Med Affairs **Department** MM Rev Cycle (PTO) **Posting Begin/End Date** 7/28/2025 - 8/11/2025 **Career Interest** Healthcare Admin & Support Apply Now more
    University of Michigan (08/07/25)
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