• Physician Billing Coding Auditor

    R1 RCM (Detroit, MI)
    …**Every day in this role, you will:** + Review physician charges against medical record and all applicable documentation to determine appropriate code ... coding, billing, and reimbursement guidelines. The Auditor must understand medical terminology, coding, contractual agreements, and various payment methodologies.… more
    R1 RCM (07/29/25)
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  • Clinical Documentation Integrity (CDI) Coordinator…

    Trinity Health (Livonia, MI)
    …with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports the patient's severity of illness, risk of ... and as otherwise necessary to ensure quality, completeness and accuracy of health record documentation. Develops CDS education based on results of quality reviews of… more
    Trinity Health (07/30/25)
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  • HCC Risk Adjustment Auditor - Full Time - Remote

    Datavant (Lansing, MI)
    …We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring ... or GED equivalent required + AHIMA certified credentials (RHIA, RHIT , CCS) or AAPC certified credentials (CPC, CPC-H, COC,...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
    Datavant (08/01/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more
    Highmark Health (05/09/25)
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  • Inpatient Coding Quality Associate

    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 ... can expect as out Coding Quality Associate:** + Audits records as defined in the coding quality review plan....other audits and duties as requested. **Required Qualifications:** + RHIT , RHIA or CCS credential is required. + A… more
    R1 RCM (07/22/25)
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  • DRGV Auditor II

    R1 RCM (Detroit, MI)
    …facing Mentor role. **Every day in this role you will:** + Review inpatient medical records for validation of DRG assignment + Provide detailed rationale and ... one or more of the following are required: RHIA, RHIT , and/or CCS + 3+ years of ICD-10 auditing...color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation,… more
    R1 RCM (07/03/25)
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  • Document & Coding Education Development…

    Henry Ford Health System (Detroit, MI)
    …or GED equivalent required. + Associate degree in Education, Business/Healthcare Administration, Medical record sciences or other Healthcare related field or ... of the following certifications is required: CPC, CCS, CCS-P, RHIT or RHIA Additional Information + Organization: Corporate Services...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
    Henry Ford Health System (06/20/25)
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  • Coding Auditor Professional - Remote - McLaren…

    McLaren Health Care (Shelby Township, MI)
    …specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines, and relevant federal ... year evaluation and management (E&M) coding experience in any medical specialty * 3 years' experience in surgical and...of the following: + AHIMA Certification (such as: RHIA, RHIT , CCS) + AAPS Certification (such as: CPC, CCS-P,… more
    McLaren Health Care (06/04/25)
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  • 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 ... review teams. + Demonstrate strong analytical abilities, with a proven track record of deriving valuable insights from both quantitative and qualitative data. +… more
    Evolent (07/18/25)
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  • Clinical Documentation Improvement (CDI)…

    LifePoint Health (Hancock, MI)
    …and accuracy of clinical documentation. You will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and ... required Bachelors' degree preferred State of Michigan Registered Nurse licensure, RHIA, RHIT or combination of thereof preferred Minimum of 2 years of clinical… more
    LifePoint Health (07/01/25)
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