• Senior Investigator, Special Investigations Unit…

    CVS Health (Lansing, MI)
    …clinical and legal review. + Document all appropriate case activity in case tracking system . + Prepare written case summaries and make referrals to State and Federal ... of time for business purposes. **Preferred Qualifications** + Certified Professional Coder ( CPC ), AHFI, CFE + Knowledge of CVS/Aetna's policies and procedures +… more
    CVS Health (11/19/25)
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  • Clinical Documentation Specialist

    University of Michigan (Ann Arbor, MI)
    …plans, including identifying and assessing issues that create risk for the Health System . + Collaboration with the Health Information Management (HIM) team on joint ... least five years of medical coding experience + Current RHIT, RHIA, CPC , CRC certification, or equivalent + Demonstrated experience providing clinical documentation… more
    University of Michigan (11/18/25)
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  • Clinical Provider Auditor II

    Elevance Health (Dearborn, MI)
    …analysis of claims and medical records prior to payment and uses required systems /tools to accurately document determinations and continue to next step in the claims ... and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates working in person or virtually in the… more
    Elevance Health (11/14/25)
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