- Trinity Health (Livonia, MI)
- …or enterprise level desirable. Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement. Project management and/or system ... and education to clinical documentation specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of 3M CDI software. Analyzes data… more
- Deloitte (Detroit, MI)
- …case manager , clinical documentation specialist, utilization review, informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare ... improvement, and value-based payment models + Proven applicable CPT and ICD-10 coding experience; APR- DRG , MS- DRG and HCC assignment + Other revenue cycle… more
- Trinity Health (Livonia, MI)
- …integrity program is required. Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement. Demonstrated knowledge of state and ... PURPOSE** Work Remote Position At the direction of the Regional Manager , Clinical Documentation Integrity (CDI), this position supervises daily operations of… more
- Molina Healthcare (Detroit, MI)
- …care issues. + Assists with complex claim review including diagnosis-related group ( DRG ) validation , itemized bill review, appropriate level of care, inpatient ... Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review… more