- Highmark Health (Lansing, MI)
- …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
- Elevance Health (Dearborn, MI)
- …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions… more
- R1 RCM (Detroit, MI)
- …medical necessity edits + Identify trended coding quality issues requiring new or refresher coder education for accurate and compliant code, DRG /APR- DRG , APC ... assists with coding review inquiries related to ICD-10, CPT, DRG /APR- DRG or APC codes. Our collaborative partners...is required + Minimum of five (5) years of inpatient coding + Minimum of three (3) years of… more
- Trinity Health (Livonia, MI)
- … Care Nursing, as an RN, related field, or as an inpatient coder preferred. Excellent communication (verbal and written), interpersonal, collaboration ... compliant working diagnoses codes, establishing a working principle diagnosis and working DRG (MS or APR). Collaborates with coding staff to ensure documentation of… more
- Molina Healthcare (Warren, MI)
- …reports quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient ... and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ,… more