- Trinity Health (Livonia, MI)
- …all Medicare and Medicaid websites, other payer websites and newsletters regarding medical policies and changes impacting charging, compliance, coding and ... care and/or Physician practice setting. + Strong understanding of appeals, denial management, medical necessity, and coding audits with ability to read … more
- Molina Healthcare (Warren, MI)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
- Henry Ford Health System (Troy, MI)
- …analyzes and reviews diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. The coding function also ... Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Minimum of… more
- Datavant (Lansing, MI)
- …systems and compile medical records to send to other parties for coding + Log all call transactions into the designated computer software system(s) + Requests ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...diploma or equivalent + 2+ year of experience in medical records, medical record coding … more
- Datavant (Lansing, MI)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Datavant (Lansing, MI)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Henry Ford Health System (Troy, MI)
- …relevant to successful authorization procurement is obtained from back end coding , billing and denial management resources and distributed to ordering physicians ... + Minimum of 3-5 years of experience in a medical clinic setting or training in a hospital or...literate, required. + Two years of experience related to healthcare insurance verification and/or billing required. + Approximately two… more
- Wolters Kluwer (Lansing, MI)
- Senior Field Sales Manager- Remote Work with Healthcare Providers, Payers, Consultants, Insurance Companies, Corporations and State/Local Government Agencies to ... sell and maintain Wolters Kluwer Healthcare Regulatory & Coding Solutions. **_ This... Solutions. **_ This position will work from a remote office and can be based anywhere in the… more
- Molina Healthcare (MI)
- …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
- Henry Ford Health System (Troy, MI)
- …leading a designated area within the CBO across a multi-facility integrated healthcare delivery system; which includes all insurance billing and self-pay associated ... Accounting, or related field preferred. + Two years of experience with healthcare accounts receivable required. + Knowledge of best practices related to revenue… more