- Elevance Health (Dearborn, MI)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Datavant (Lansing, MI)
- …within the organization. Provide this information in a usable format to the Client Billing group. + Works with Client Billing group to establish appropriate ... Establish and maintain appropriate documentation as back up for billing along with procedures for completing and recognizing revenue....exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Henry Ford Health System (Troy, MI)
- …within healthcare revenue cycle. + One (1) year of healthcare accounts receivable billing . + One (1) year of experience with resolving insurance payer denials. + ... Experience with both technical (UB) and professional (1500) billing , preferred. + Experience with billing and...Ability to understand and lead change. + Knowledge of Medical terminology, preferred. + Ability to analyze data and… more
- Henry Ford Health System (Troy, MI)
- …* Provide oversight and adherence to third party payer contract and billing guidelines, including but not limited to offshore vendor restrictions. * Demonstrates ... with appropriate System and revenue cycle leadership, ensures patient billing services representation and participation in appropriate external collaboration, think… more
- Henry Ford Health System (Troy, MI)
- …across a multi-facility integrated healthcare delivery system; which includes all billing , payor audit processes associated with Henry Ford Health hospitals, ... leads through sharing knowledge, motivation and engages the Insurance Billing Office team to provide high quality services, which...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- CVS Health (Lansing, MI)
- …concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is consistent with medical ... every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a… 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 ... and healthcare organizations. Drawing on your real-world experience in healthcare billing , AR management, or coding, you'll demonstrate how our solutions solve… more
- Henry Ford Health System (Troy, MI)
- … coding (facility and professional), related medical terminology, use of medical records, billing claim forms, and federal and state regulations related ... revenue cycle, finance, clinical areas or related experience, required. + Hospital billing and finance background, preferred. + Ability to work with and interpret… 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 ... charge master, AS4, ICD-10 coding, CPT coding and EDI billing + Reads and interprets expected reimbursement information from...third party payers to resolve unpaid claims in proving medical necessity of the patient's admission + Works with… 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 ... do initial reviews and approve and review cases for external appeal and outpatient billing . To thrive in this role, you must have a strong leadership mindset with… more