- Cardinal Health (Lansing, MI)
- …compliance audit methodology, principles and techniques; ability to interpret medical record progress notes, handwritten and electronic chart entries, ... and/or medical necessity reviews. + Prepares written reports of audit findings and recommendations; presents to appropriate stakeholders; evaluates the adequacy… more
- Elevance Health (Dearborn, MI)
- …an impact:** + Analyzes and audits claims by integrating advanced or convoluted medical chart coding principles (found in the Official Coding Guidelines, Coding ... complex clinical guidelines and maintaining objectivity in the performance of medical audit activities. + Draws on extremely advanced ICD-10 coding expertise,… more
- Molina Healthcare (MI)
- …Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and ... other state specific audit projects and deliverables related to accurate billing and...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of… more
- Corewell Health (Kentwood, MI)
- …pursuant on satisfactory progress including authorizations obtained daily and a passing audit score. Essential Functions + Demonstrates the ability to utilize all ... of benefits and authorization requirements. + Able to perform chart abstraction to pull clinical data from a patient's...barriers to success. + Maintains a 90% or higher audit score consistently and be receptive to constructive feedback.… more
- University of Michigan (Ann Arbor, MI)
- …on coding compliance, including proper documentation, accurate coding, trends found in chart reviews, audit findings, and regular coding updates. + Identify ... codes by writing recommendations to the AHA. + Conduct chart reviews and respond to coding requests from UMHS...appropriate queries for clinicians. + Use 3M 360 Code Audit and Prebill tools during audits to ensure accurate… more
- CenterWell (Lansing, MI)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... as internal policies and guidelines while analyzing coding information and medical records. **Mergers and Acquisitions:** + Partner with coding teams (consultative… more
- Tenet Healthcare (Commerce Township, MI)
- …facilitation and follow-up). Supports/directs/monitors the following: department head meetings, chart audit meetings, compliance committees, charge master ... development, and work-life balance. The available plans and programs include: * Medical , dental, vision, and life insurance * 401(k) retirement savings plan with… more
- Hospice of Michigan (Kalamazoo, MI)
- …policies and procedures, and compliance to regulatory requirements. + Conducts patient chart audits to assess clinician's ability to document timely, accurately and ... clinician following a clinical visit. Communicating results of the audit . Identifying both positive practices as well as areas...needs of clinical staff when deficiencies are identified during chart audits and patient visits. + Acts as a… more
- Grace Health (Battle Creek, MI)
- …services and maintaining standards of care in the OB/GYN department. Provides medical consults for and collaborates in patient care with advanced nurse practitioners ... vaccine is a requirement of Grace Health Benefits + Medical , vision, dental, life, and disability insurance + 401K...the scope of their specialty. 4. Responsible to review audit findings, provide in-service training, review changes in service… more
- Hospice of Michigan (Clinton Township, MI)
- …to meet regulatory standards by auditing reports from the EHR: Admission HIS Audit , Discharge HIS Report, Admission CTI Report, Recert CTI/F2F Report, Provider Order ... completed in accordance with regulatory and compliance standards. + Inventories medical supply stock in assigned dispensing areas, monitoring expiration dates and… more