- 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...large quantities of operational data + Ability to review complex medical records + Ability to interact professionally with… more
- Molina Healthcare (Warren, MI)
- …processing. + Identifies and reports quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of ... Care, Inpatient Readmission, and any opportunity identified by the Payment...and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ,… more