- Henry Ford Health System (Troy, MI)
- …analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The ... EDUCATION/EXPERIENCE REQUIRED: + High school diploma or GED equivalent required. + Billing or coding experience preferred. Some college or additional coursework… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …You'll be responsible for overseeing the daily operations of the coding team. The Coding Auditor will assist the Manager of Coding to lead a team ... guidelines and regulations (eg, ICD-10, CPT, HCPCS). + Review medical records and coding entries to verify...coding regulations and best practices. + Collaborate with coding , billing , and compliance teams to develop… more
- Henry Ford Health System (Troy, MI)
- …with physician, nursing staff, leadership and other HFH personnel. + Knowledge of medical coding (facility and professional), related medical terminology, ... GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies...finance, clinical areas or related experience, required. + Hospital billing and finance background, preferred. + Ability to work… more
- CVS Health (Lansing, MI)
- …it all with heart, each and every day. **Position Summary** Under supervision of the Billing Manager , the Billing Premium Consultant is responsible for the ... resolve any billing discrepancies and assist the Billing Manager /Supervisor in analyzing monthly billing... variances (20%) + Load new rates and specific coding relevant to the group plan and products sold.… more
- Trinity Health (Livonia, MI)
- …and respond to audit feedback. + Ensure timely, accurate client care documentation for billing . + Monitors and informs manager of records that are not completed ... **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan **Status:**… more
- Henry Ford Health System (Troy, MI)
- …bed management, registration, scheduling, revenue cycle reports, professional billing , hospital billing , medical records, or coding . + Additionally, must ... Application Analyst takes general direction from their supervisor or manager . The Sr. Application Analyst may in some instances...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- Cardinal Health (Lansing, MI)
- …and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written reports of audit ... state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and...+ 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or… more
- J&J Family of Companies (Flint, MI)
- …with both pharmacy and medical /buy & bill benefits (as applicable), coding , and billing . + Reimbursement or relevant managed care experience (revenue ... state experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access acumen as it relates… more
- Molina Healthcare (Sterling Heights, MI)
- …and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Humana (Lansing, MI)
- …Investigator: Nurse Audit/Review performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services ... interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
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