• Special Investigation Unit (SIU) Coding Review…

    CVS Health (Lansing, MI)
    …the team in determining correct coding and appropriate documentation during the review of medical records . This role requires a strong focus on meeting state, ... Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to...that may warrant a prepayment review. + Maintain appropriate records , files, and documentation for the team. + Utilize… more
    CVS Health (08/08/25)
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  • Coding Data Quality Auditor

    CVS Health (Lansing, MI)
    …every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes ... all State and Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations… more
    CVS Health (08/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (08/09/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Sterling Heights, MI)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
    Molina Healthcare (08/02/25)
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  • Coding Liaison

    R1 RCM (Detroit, MI)
    …and analyze large quantities of operational data + Ability to review complex medical records + Ability to interact professionally with other associates, ... transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise… more
    R1 RCM (08/08/25)
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  • Coding Operations Supervisor

    Corewell Health (Grand Rapids, MI)
    …Supervisor maintains regular formal and informal contact with a variety of Medical Center personnel to facilitate exchange of patient, regulatory, and record-related ... Groups (DRG) and Ambulatory Payment Classification (APC) assignment for all patient records . Provides direction and support to employees to ensure effectiveness and… more
    Corewell Health (08/08/25)
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  • Cardiology Coding Associate III

    R1 RCM (Detroit, MI)
    The **Professional Services Coder ** will be responsible for reviewing clinical documentation and diagnostic results as appropriate (ie, to extract data and apply ... modifiers. * Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a… more
    R1 RCM (07/24/25)
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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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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Lansing, MI)
    …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
    Datavant (08/08/25)
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  • Senior Coding Educator

    Humana (Lansing, MI)
    …Senior Coding Educator is responsible for reviewing and analyzing internal data and medical records , as well as coordinating educational sessions with providers ... or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with...Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission,… more
    Humana (08/08/25)
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