- 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 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
- State of Michigan (Gaylord, MI)
- …Review permit applications; conduct field investigations; and prepare reports, permits, denials , and correspondence relative to land and water use activities and ... field investigations, holding public hearings and meetings; issuing permits and denials ; testifying as a witness; evaluating violations of the statutes; and… 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
- Trinity Health (Livonia, MI)
- …Maintains compliance with regulatory requirements Assist Nurse Auditor and/or Coordinator with denial coordination process; including analysis of clinical ... experience desired. Experience and knowledge of working on appeals for insurance denials and identifying root cause. Knowledge of Hospital and/or Physician group… more