- 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
- 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. The Multi-Specialty Coder will be responsible for reviewing clinical documentation and diagnostic… 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
- Elevance Health (Dearborn, MI)
- …or quality assurance environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer ... considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG)… more
- Molina Healthcare (Grand Rapids, MI)
- …working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... and implementation of the DRG validation program. Responsible for auditing inpatient medical records and generating high quality claims payment to ensure payment… more
- Corewell Health (Grand Rapids, MI)
- …capture all appropriate charges based on clinical documentation found in the patient medical record and enter into OneChart. Essential Functions + Review medical ... maintaining high level of accuracy. + Analyze and resolve billing edits related to charge errors. + Promotes and...related duties. Qualifications Required + High School Diploma + Medical terminology knowledge + 2 years of relevant experience… more
- Robert Half Accountemps (Grand Rapids, MI)
- …ability to interact effectively with customers and internal teams. * Knowledge of healthcare billing systems or electronic medical records systems is a plus. * ... equivalent experience preferred. * Certifications such as Certified Biller or Certified Coder are advantageous. Robert Half is the world's first and largest… more