- Molina Healthcare (Ann Arbor, 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 Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
- Molina Healthcare (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 Senior Analyst, Medical Economics provides support and consultation to the...processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare… more
- Henry Ford Health System (Troy, MI)
- … Coding ? If your answer is YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel as needed within the ... work directly with providers. About the Role: As our Medical Coding Education Coordinator, you'll be at...three (3) years of experience related to documentation improvement, coding , CDI, compliance, and/or billing for hospital/physician… more
- Banner Health (MI)
- …you. **Requirements:** + **5 years recent experience** **in acute-care Inpatient facility-based medical coding ;** + **DRG and PCS experience** + **Bachelors ... coding . CORE FUNCTIONS 1. Provides guidance on coding and billing , utilizing coding ...as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical… more
- R1 RCM (Detroit, MI)
- …and patient billing concerns. + Meet and/or exceeds the established coding productivity standards + Meet and/or exceeds the established quality standard of 95% ... and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing , review and correct billing edits, internal...coding conventions and rules established by the American Medical Association (AMA) (ie:Documentation Guidelines '95 & '97) +… more
- Elevance Health (Dearborn, MI)
- …position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and ... and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's...or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing… more
- Highmark Health (Lansing, MI)
- …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... quality and accuracy of coding , billing and documentation related to DRGs,...for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical… more
- R1 RCM (Detroit, MI)
- …Hospital Coding Auditor, you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on ... (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding , contractual agreements, and various payment methodologies.… more
- 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 ... Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Strong… more
- Corewell Health (Southfield, MI)
- …, and Coding Audit; Inpatient, Outpatient, Emergency and Professional Coding Performs quality and compliance audits. Reviews medical record documentation ... in trouble shooting issues, problem solving and resolution of customer service and/or billing issues. Identify problematic coding trends based on audit activity… more