• (Hybrid/Remote) Coding Compliance Specialist

    Trinity Health (Livonia, MI)
    …AHIMA, AAPC, or equivalent certification required, eg, Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information ... and have in depth knowledge of Hospital Outpatient Prospective Payment System, Inpatient Prospective Payment System, Medicare Physician Fee Schedule, Inpatient more
    Trinity Health (08/11/25)
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  • Coding Liaison

    R1 RCM (Detroit, MI)
    …edits + Identify trended coding quality issues requiring new or refresher coder education for accurate and compliant code, DRG/APR-DRG, APC assignment **Required ... is required + Minimum of five (5) years of inpatient coding + Minimum of three (3) years of...coding + Training in hospital Clinical Documentation Improvement + Inpatient or outpatient coding audit experience For this US-based… more
    R1 RCM (08/08/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical ... and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ,… more
    Molina Healthcare (08/08/25)
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  • ProFee Coding QA Mentor/Trainer

    R1 RCM (Detroit, MI)
    …alignment with client needs and specifications. + Researching, escalating, and responding to coder support questions as triaged by leadership. + Mentor new hires: + ... Payment System (OPPS), National Correct Coding Initiative (NCCI) edits, and Inpatient Prospective Payment System (IPPS). + Experience working with coding software… more
    R1 RCM (08/08/25)
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