- R1 RCM (Detroit, MI)
- …and reimbursement policies. + Ensuring that hospital policies and procedures related to billing and coding are followed by all relevant departments. + Analyzing ... billing trends and identifying opportunities for revenue improvement or...processes and rectify them. Coding Compliance: + Verify that medical codes (ICD-10, CPT, HCPCS) assigned to procedures and… more
- Corewell Health (Grand Rapids, MI)
- …may include research, interviews, data analysis, and substantive desk or onsite medical record review. Responsible for preparing case file, final report and ensuring ... Assists with internal and external education on fraud, waste, abuse, billing and documentations requirements. Essential Functions + Responsible for investigating,… more
- Cardinal Health (Lansing, MI)
- …(technical) services, including: detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular ... in support of services billed; compliance with other documentation and coding and billing standards; and physician and coder education. This position will also… more
- LifePoint Health (Marquette, MI)
- …following) Certified Professional Coder (CPC) Certified Evaluation and Management Coder (CEMC) Certified Professional Medical Auditor (CPMA)* *Minimum Work ... for everyone in this beautiful lakeside gem. Why Choose Us: Health ( Medical , Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time… more
- Elevance Health (Dearborn, MI)
- …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of… more
- R1 RCM (Detroit, MI)
- …and standards + R1 RCM quality auditors perform audits to ensure that medical coding and billing practices adhere to industry standards and regulations. ... will be responsible for reviewing patient charts coded by Medical Coding Team Members for accuracy and completeness, through...with team members and leadership. + Performs client and coder -focused audits or chart reviews as needed. + May… more