- Corewell Health (Watervliet, MI)
- …for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all Inpatient ... clinical outcomes, and maximize reimbursement. Collaborate with coding, billing, denials and other departments as needed.Monitor CMS/insurance updates, regulations… more
- Behavioral Center of Michigan (Detroit, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex ... supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical information and criteria.… more
- Humana (Lansing, MI)
- …help us put health first** The Bilingual Outbound Telephonic UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring ... treatment, care or services for members. Bilingual Outbound Telephonic UM Administration Coordinator 2 + Outbound calls to the members after the authorizations +… more
- Trinity Health (Livonia, MI)
- …reimbursement and compliance management as it relates to coding. Assists with denials management, complex case resolution and may perform coding tasks as directed. ... coding and abstracting to the Regional Supervisor and Regional Manager. Assists with denials , complex coding cases, claim edits and errors, and may perform coding… more
- Trinity Health (Livonia, MI)
- …reimbursement and compliance management as it relates to CDI. Assists with denials management, complex case resolution and may perform CDI reviews as directed. ... education for clinicians. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports… more
- Henry Ford Health System (Troy, MI)
- …clinical judgment in the review and assessment of audit related denials for outpatient, procedural, and inpatient cases. Using established coding principles ... and procedures reviews, analyzes and reviews diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. The coding function also ensures compliance with established coding guidelines, third party… more
- Intermountain Health (Lansing, MI)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review, audit… more
- Trinity Health (Livonia, MI)
- …of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator . Working with the Regional Manager, Clinical Documentation Integrity, is ... work assignments for colleagues. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports… more
- State of Michigan (Lansing, MI)
- …The person in this position also drafts appropriate licenses, approvals or denials for the above-referenced projects, serves as Department technical resource for ... in the application or selection processes, please contact theADA coordinator (https://www.michigan.gov/ose/-/media/Project/Websites/ose/Contact/RACs.pdf) for the agency that posted this position… more
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