- Henry Ford Health System (Warren, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. ... Responsible for obtaining and tracking approvals, denials , and additional information requests received from third party payers within the EMR. EDUCATION AND… more
- Molina Healthcare (MI)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… 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. ... of new coding colleagues. Work may be onsite and/or remote . Must be able to travel to all assigned...to the Regional Supervisor and Regional Manager. Assists with denials , complex coding cases, claim edits and errors, and… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position At the direction of the Regional Manager and Supervisor, ... the CDI quality plan, such as by Clinical Documentation Specialist (CDS), service line, focus area and as otherwise...compliance management as it relates to CDI. Assists with denials management, complex case resolution and may perform CDI… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position At the direction of the Regional Manager, Clinical Documentation ... within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional… more
- Trinity Health (Livonia, MI)
- …Business Services (PBS) teams, when needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health record ... Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. One (1) year of current acute care… more
- Trinity Health (Livonia, MI)
- …Business Services (PBS) teams, when needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health record ... Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. Two (2) years of current acute care… more
- Trinity Health (Livonia, MI)
- …support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials . 5. Works Inpatient claim edits and may code consecutive/combined accounts to ... Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. 3. Three (3) years of current acute… more
- Banner Health (MI)
- …Inpatient Facility Coding department. If you have experience with DRG and PCS coding/ denials /audits, we want to hear from you. **Requirements:** + **5 years recent ... support throughout your career here! This is a fully remote position and available if you live in the...and procedure code assignments. Collaborates on DRG and coding denials , billing edits/rejections to provide coding expertise to resolve… more
- University of Michigan (Ann Arbor, MI)
- …Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit practices for ... about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain compliance with… more