- Datavant (Lansing, MI)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of...manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly… more
- Elevance Health (Dearborn, MI)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical ... work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical...+ BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or… more
- Highmark Health (Lansing, MI)
- …:** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to ... performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for… more
- Datavant (Lansing, MI)
- …educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager ** is essential to the Provider HIM Coding ... data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans...RHIA, or CCS) with at least **5 years of coding experience** . + Excellent interpersonal and organizational skills.… more
- R1 RCM (Detroit, MI)
- … + Training in hospital Clinical Documentation Improvement + Inpatient or outpatient coding audit experience For this US-based position, the base pay range ... orchestration. The ** Coding Liaison** works with the Coding Liaison Manager and Director of ...to potential lost revenue via Axiom and high dollar medical necessity edits + Identify trended coding … more
- Henry Ford Health System (Grand Blanc, MI)
- …with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical ... services. Through concurrent, prospective and retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit… more
- Datavant (Lansing, MI)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... and Infusions **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and… more
- Datavant (Lansing, MI)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
- Molina Healthcare (Sterling Heights, MI)
- … experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
- Elevance Health (Dearborn, MI)
- … principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by… more