• HIM ProFee Auditing Specialist FT

    Datavant (Lansing, MI)
    …healthcare from your own workspace! **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, ... to realize our bold vision for healthcare. As a Profee Auditing Specialist , you will be instrumental in addressing consulting and educational needs related… more
    Datavant (09/13/25)
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  • Outpatient Audit Specialist

    Datavant (Lansing, MI)
    …SDS, ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, ... vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs… more
    Datavant (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Lansing, MI)
    …to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • Manager Audit Denials Management - McLaren Careers

    McLaren Health Care (Grand Blanc, MI)
    …healthcare related field * ACMA or ACDIS memberships * Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist , or ... Certified Clinical Documentation Specialist certifications more
    McLaren Health Care (09/26/25)
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  • Quality Senior Analyst

    CVS Health (MI)
    …experience equal to approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS-P (Certified Coding Specialist -Physician) and CRC ... Qualifications** + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience… more
    CVS Health (09/30/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (09/23/25)
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  • Patient Services Intermediate/ Patient Account…

    University of Michigan (Ann Arbor, MI)
    …and diagnosing using ICD-10-CM, CPT, and HCPCS coding systems. + Collaborate with medical coder compliance specialist , providers and medical staff ... world and has been the site of many groundbreaking medical and technological advancements since the opening of the...and facility charges. + Analyze visit documentation and apply coding /billing guidelines to interpret accuracy in charge capture. +… more
    University of Michigan (08/25/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Detroit, MI)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (09/26/25)
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