• Sr Analyst, Scope Management - Healthcare

    Evolent (Lansing, MI)
    …surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food ... to create compelling presentations. + Active credential or professional coding certification , such as: + Registered Health Information Technician (RHIT) + Certified… more
    Evolent (07/18/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Sterling Heights, MI)
    …Experience** 5+ years Clinical Nursing experience, including hospital acute care/ medical experience. **Preferred License, Certification , Association** Any one ... or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
    Molina Healthcare (08/02/25)
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  • Acute Access NP, Virtual Care

    CenterWell (Lansing, MI)
    …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... the care team through daily huddles. + Helps Associate Medical Director (AMD), Physician and Center Administrator in setting...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (08/08/25)
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  • Senior Coding Educator

    Humana (Lansing, MI)
    …+ High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with ICD-10 CM guidelines ... Coding Educator is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with providers to enhance… more
    Humana (08/08/25)
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  • Coding Auditor Professional - Remote - McLaren…

    McLaren Health Care (Shelby Township, MI)
    Certification (such as: CPC, CCS-P, CCC, COC, CIC, CHONC, etc.) o AMAC Certification such as ROCC (Radiation Oncology Certified Coder ) _Preferred:_ * _1 year ... specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines, and relevant federal and other… more
    McLaren Health Care (06/04/25)
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  • Special Investigation Unit (SIU) Coding Review…

    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...of 2 years of managing a staff. + Coding Certification (CPC, CPMA, COC). + A minimum of 5… more
    CVS Health (08/08/25)
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