- Trinity Health (Livonia, MI)
- …and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. Utilizes ... coding guidelines established by: + The Centers for Medicare/Medicaid... Clinic + The American Medical Association (AMA) for CPT codes and CPT Assistant + The… more
- Cognizant (Lansing, MI)
- …years claim processing is required. * Knowledge of physician practice and hospital coding , and medical terminology, CPT , HCPCS, ICD-10 * Experience making ... payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations. * 1 year of Facets experience. * Experience in the analysis and processing of claims for… more
- Cognizant (Lansing, MI)
- …claims processing experience is required. + Knowledge of physician practice and hospital coding , and medical terminology, CPT , HCPCA, ICD-10 + Experience making ... payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare/Medicaid payment and coverage guidelines and regulations. + Must be able to work with minimal supervision. + 1 year of Facets experience. + Experience in… more
- McLaren Health Care (Flint, MI)
- …Summary:** Responsible for reviewing outpatient medical records for proper coding assignment. **Position Specifications:** _ * Background in laboratory billing ... **Essential Functions and Responsibilities as Assigned:** 1. Accurately assigns codes ( CPT -4 and HCPCS) to outpatient medical records based on documentation in… more
- CVS Health (Lansing, MI)
- …(CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation ... other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC… more
- LifePoint Health (Marquette, MI)
- …accurate ICD diagnosis codes, using compliant documentation.* *Assigns accurate CPT /HCPCS codes to records, using compliant documentation.* *Applies knowledge of ... Coding Guidelines to select the appropriate diagnosis code.* *Uses...disease process and diagnosis.* *Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague… more
- R1 RCM (Detroit, MI)
- …and remittance advices to determine appropriate code assignments for services provided ( CPT /HCPCS codes). + **Analyze and apply Commercial and Managed Care contracts ... + Build and maintain expertise in Medicare and Managed Care billing, coding , and reimbursement policies. + Support algorithm research, development, and maintenance… more
- University of Michigan (Ann Arbor, MI)
- …authorizations for services based on our level of care decisions, preliminary coding and payer requirements. The Precertification staff work closely with a variety ... necessity criteria and institutional patient placement guidelines. + Assign ICD-10 and CPT codes for planned procedures/treatment and provide to payers as required.… more
- LifePoint Health (Marquette, MI)
- …stakeholders, patient accounting and scheduling areas. Reviews charges for correct coding , completeness and accuracy of demographic and insurance data. Prepares ... financial reports as assigned. Reviews claim pertaining to billing, authorization, coding and documentation requirements. When necessary implements action plans to… more
- Cardinal Health (Lansing, MI)
- …system, including the accurate loading and mapping of fee schedules, effective CPT code management, the upkeep of the ICD-10 diagnosis directory, and insurance ... systems. + Manage the setup, maintenance, and updates of CPT codes within the practice management system. + Work...management or related field + Strong understanding of medical coding , billing practices, and revenue cycle processes + Proficiency… more