- 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
- 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
- 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
- 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
- Elevance Health (Dearborn, MI)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Validation Auditor-RN** **Virtual:** This role enables associates to work virtually full -time, with the exception of required inperson training sessions, providing… more
- CVS Health (Lansing, MI)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for… more
- Humana (Lansing, MI)
- …field. + Healthcare insurance industry knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is ... Manager, you will spearhead audit and validation processes to ensure medical documentation and coding are precise, compliant, and support optimal reimbursement.… more
- Humana (Lansing, MI)
- …CM guidelines + Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related ... is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with...or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with… more