- Trinity Health (Livonia, MI)
- …Clinic for International Classification of Diseases, Clinical Modification + The American Medical Association _(AMA_ ) for CPT codes and CPT Assistant + American ... and routes non-coding ones to appropriate owners eg, Revenue Integrity, Billing , etc. Adheres to Inpatient coding quality and productivity standards established… more
- Trinity Health (Livonia, MI)
- …by Revenue Excellence/HM. 7. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists ... and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as… more
- Henry Ford Health System (Detroit, MI)
- …and codes diagnostic and/or procedural information from the patient?s medical record for reimbursement/ billing purposes. Accurately abstracts information ... medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related… more
- Henry Ford Health System (Troy, MI)
- …and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/ billing purposes. Accurately abstracts information ... medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related… more
- Banner Health (MI)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and ... and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff… more
- CVS Health (Lansing, MI)
- …it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with ... patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is...**Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC). - 3+ years of experience reviewing and… more
- Corewell Health (Grand Rapids, MI)
- …efforts, ensuring interdependencies across Network Contracting, Utilization Management, and Billing Policy are effectively managed to support the organization's ... These efforts will support the organization's cost containment efforts specific to medical claims payment and drive payment integrity performance. This position is… more
- Highmark Health (Lansing, MI)
- …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years… more
- Henry Ford Health System (Detroit, MI)
- …measures/countermeasures. + Reviews and audits professional and facility coding and billing from all departments of HFH. + Conducts high-volume coding compliance ... on the accuracy of CPT, E&M, ICD-10-CM/PCS coding, and billing to ensure compliance with payer, legal and procedural...prepares reports of findings and meets with providers and medical office staff to provide education and training on… more
- R1 RCM (Detroit, MI)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... analytics, AI, intelligent automation, and workflow orchestration. Our **Cardiology Coder ** will be responsible for reviewing clinical documentation and diagnostic… more